Individual
MARIE THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2062
Mailing address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2062
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
363A00000X
Physician Assistant
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
05/31/2019
Last updated
02/25/2026
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