Provider Demographics
NPI:1275367708
Name:NGUYEN-AN, CHRISTINA PHUONG (CNA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:PHUONG
Last Name:NGUYEN-AN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7724 73RD PL NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-6559
Mailing Address - Country:US
Mailing Address - Phone:206-669-1898
Mailing Address - Fax:
Practice Address - Street 1:699 STRANDER BLVD STE C
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2922
Practice Address - Country:US
Practice Address - Phone:206-799-4988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program