Individual
MRS. MARIA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3110 SW 89TH ST, OKLAHOMA CITY, OK 73159-7900
(405) 692-3700
Mailing address
12205 SHERRIE ELAINE DR, OKLAHOMA CITY, OK 73170-1018
(316) 619-4832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500636
KS
363A00000X
Physician Assistant
Primary
2286
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100411680B
—
KS
Enumeration date
06/17/2005
Last updated
06/09/2026
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