Provider Demographics
NPI:1053179986
Name:NGUYEN, JOHN ARRON (LVN)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ARRON
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25284 VILLAGER LN
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-3100
Mailing Address - Country:US
Mailing Address - Phone:510-910-3564
Mailing Address - Fax:
Practice Address - Street 1:25284 VILLAGER LN
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-3100
Practice Address - Country:US
Practice Address - Phone:510-910-3564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA284467164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse