Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NGUYEN TAN
Active
Individual
NGUYEN TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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