Individual
NANCY TIET NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 S DOBSON RD STE 202, MESA, AZ 85202-4724
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217901
AZ
363LF0000X
Family Nurse Practitioner
Primary
217901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143415
—
AZ
Enumeration date
08/18/2020
Last updated
08/08/2025
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