Individual
THU THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
104 QUAIL TRAIL, UNIT B, EDGEWOOD, NM 87015
(505) 208-0204
(505) 717-2884
Mailing address
104 QUAIL TRAIL, UNIT B, EDGEWOOD, NM 87015
(505) 208-0204
(505) 717-2884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59655
NM
Other
Enumeration date
05/24/2020
Last updated
08/06/2020
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