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NANG IMMANIVONG
Family Nurse Practitioner
NPI: 1538567102IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
AP126583 / RN 732786(TX)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
AP126583(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 1515 HOLCOMBE BLVD, 77030-4009
HOUSTON, TX 77030 - Phone
- (713) 792-6161
Quick Facts
- NPI
- 1538567102
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 12
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