Individual
AMANDA MY-VY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1712 RACE ST, CINCINNATI, OH 45202-3906
(513) 381-2247
(513) 381-1459
Mailing address
1712 RACE ST, CINCINNATI, OH 45202-3906
(513) 381-2247
(513) 381-1459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007183RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484482
—
OH
05
—
102234704-00
—
OH
Enumeration date
10/20/2021
Last updated
06/05/2026
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