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Provider Information for 1164053658

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MS. THUYAN NGUYEN

Gender: FEMALE

Individual NPI: 1164053658

Calendar   Last Updated:  2020-02-03
  Certification Date:  2020-02-03

Details

Name Value
NPI 1164053658
Enumeration Date 2020-02-03
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5309 67TH ST N
SAINT PETERSBURG, FL 33709-2825
United States

Phone: 727-859-3282 | Fax:
View Map External Link
Primary Practice Address 8408 N GRADY AVE
TAMPA, FL 33614-1907
United States

Phone: 813-885-9091 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL APRN11005671