Individual
DR. AI-KHUE THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
(253) 435-3138
Mailing address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
(253) 435-3138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00044973
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203361
L&I
WA
01
—
3386NG
REGENCE BLUESHIELD
—
01
—
7107805
AETNA
—
05
—
8447468
—
WA
Enumeration date
08/25/2006
Last updated
04/28/2021
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