Individual
DR. CAROLINE H NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30184
NE
207RC0000X
Cardiovascular Disease Physician
175212
CA
207RC0000X
Cardiovascular Disease Physician
Primary
30184
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175212
MEDICAL LICENSE
CA
01
—
30184
MEDICAL LICENSE
NE
Enumeration date
06/03/2015
Last updated
07/17/2024
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