Doctor Name: | DAO-TIEN DUONG |
NPI Number: | 1447432745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 9233386 |
Business Practice Address: | 419 N 1st St Immokalee, FL - 341423150 |
Business Phone Number: | 2392522697 |
Business Fax Number: | 2397745653 |
Mailing Address: | Po Box 429, NAPLES |
State: | FL |
Postal Code: | 341060429 |
Phone Number: | 2392522697 |
Fax Number: | 2397745653 |
NPI Enumeration Date: | 11/29/2007 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 9233386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |