Individual
AMANDA MY-VY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
270 SOUTHERN AVE, CINCINNATI, OH 45219-3023
(513) 367-5888
Mailing address
3310 CARDIFF AVE APT 310, CINCINNATI, OH 45209-1382
(513) 550-9921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007183RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102234704-00
—
OH
Enumeration date
10/20/2021
Last updated
06/20/2024
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