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Individual
THAO THANH NGUYEN RODRIGUEZ
Active
Individual
THAO THANH NGUYEN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95011546
CA
363LG0600X
Gerontology Nurse Practitioner
6764
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922463835
ANTHEM
CT
05
—
1922463835
—
CT
01
—
3093495
CIGNA
CT
01
—
4841947
AETNA
CT
01
—
AA533035
HARVARD PILGRIM
CT
Enumeration date
12/18/2015
Last updated
09/08/2022
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