Individual
PHUONG M NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1782
(704) 384-1783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200501586
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45752061
—
NM
05
—
5902582
—
NC
Enumeration date
03/23/2006
Last updated
05/24/2023
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