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Contact Information

KAITLYN NGUYEN, AGACNP-BC
5 SUMMIT AVE STE 105
HACKENSACK, NJ07601-1271
 Phone: 201-880-8072
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KAITLYN NGUYEN · (Female)

NPI # 1245796374
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 02/13/2019
Last updated 05/31/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00901200
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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