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Audra Wong
Family Nurse Practitioner in Newport Beach, California
NPI 1528694957

Audra Wong is a Family Nurse Practitioner based in Newport Beach, CA and is specialized in Family. Audra Wong practices in Newport Beach, CA. The NPI Number for Audra Wong is 1528694957 and holds a License No. 95013262 (California).

The current practice location address for Audra Wong is 510 Superior Ave, Newport Beach, CA and can be reached out via phone at 800-400-4624.

Location: 510 Superior Ave, Newport Beach, CA, 92663-3663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528694957
Provider Name
Audra Wong
Credential
Provider Entity Type
Individual
Gender
Female
Address
510 Superior Ave, Newport Beach, CA, 92663-3663
Phone Number
800-400-4624
Fax Number
Provider Enumeration Date
03/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
510 Superior Ave
City
Newport Beach
State
California
Zip
92663-3663
Phone Number
800-400-4624
Fax Number
person
Provider Business Mailing Address Details
Address
510 Superior Ave
City
Newport Beach
State
California
Zip
92663-3663
Phone Number
800-400-4624
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95013262 (California)
Definition
Definition to come...
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