Individual
HIEU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC 09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-5974
(505) 272-5885
Mailing address
MSC 09 5040 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6607
(505) 272-8045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2020-0192
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YIE8191994888
—
NM
Enumeration date
05/11/2017
Last updated
09/18/2020
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