Provider Demographics
NPI:1275268617
Name:VUONG, KAREN (MSN, APRN, CWOCN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:VUONG
Suffix:
Gender:F
Credentials:MSN, APRN, CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7466 OXFORD CIR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3761
Mailing Address - Country:US
Mailing Address - Phone:510-320-3878
Mailing Address - Fax:
Practice Address - Street 1:91 GREGORY LN STE 22
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4927
Practice Address - Country:US
Practice Address - Phone:884-348-8808
Practice Address - Fax:888-434-8880
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95027381363L00000X
FLRN9549322163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner