Individual
MICHELLE PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
316 MANATEE AVE W, BRADENTON, FL 34205-8805
(941) 748-2277
(941) 748-1958
Mailing address
316 MANATEE AVE W, BRADENTON, FL 34205-8805
(941) 748-2277
(941) 748-1958
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME139566
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
07/12/2022
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