KRISA SOMPONG NGUYEN FNP
NPI 1427431139
Nurse Practitioner - Family in Clovis, CA
Active since June 30, 2015
About Krisa Sompong Nguyen Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISA SOMPONG NGUYEN FNP (NPI 1427431139) is an individual family provider in Clovis, California, licensed in California (NP95002623) and active in the NPI registry since June 2015.
NPPES Registry Identity
NPI1427431139
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISA SOMPONG NGUYENCredential: FNP
Location Address2697 OMAHA AVEClovis, CA 93619-8478
Mailing Address2697 Omaha AveClovis, CA 93619-8478
Phone(559) 840-7455
Sole ProprietorYes
Enumeration DateJune 30, 2015
Last NPPES UpdateJuly 8, 2015
✔ NPI 1427431139 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95002623
2697 OMAHA AVE, Clovis, CA 93619
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427431139, enumerated as an "individual" on June 30, 2015.
The provider is located at 2697 OMAHA AVE CLOVIS, CA 93619 and the phone number is (559) 840-7455.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
