Provider Demographics
NPI:1891523866
Name:VU, THANH DUC (FNP-C)
Entity type:Individual
Prefix:MR
First Name:THANH
Middle Name:DUC
Last Name:VU
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 STORY RD UNIT 6066
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-4601
Mailing Address - Country:US
Mailing Address - Phone:408-293-5900
Mailing Address - Fax:
Practice Address - Street 1:969 STORY RD UNIT 6066
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-4601
Practice Address - Country:US
Practice Address - Phone:408-293-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95031199363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily