Individual
MAI PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8405 CHURCH RANCH BLVD, WESTMINSTER, CO 80021-3918
(303) 438-2285
Mailing address
8405 CHURCH RANCH BLVD, WESTMINSTER, CO 80021-3918
(303) 438-2285
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
DR45070
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M5408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02871211
—
CO
05
—
194429001
—
TX
Enumeration date
03/15/2007
Last updated
04/02/2020
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