Provider Demographics
NPI:1962545707
Name:LE, ROSEMARY NGUYEN (NP)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:NGUYEN
Last Name:LE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 W STEWART DR STE 602
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3857
Mailing Address - Country:US
Mailing Address - Phone:714-367-6027
Mailing Address - Fax:714-276-6680
Practice Address - Street 1:1310 W STEWART DR STE 602
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3857
Practice Address - Country:US
Practice Address - Phone:949-439-9327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14490363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily