Individual
JIM THACH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2001 ERRECART BLVD, ELKO, NV 89801-8333
(775) 738-5151
Mailing address
3968 W SAND LAKE DR, SOUTH JORDAN, UT 84009-4174
(801) 580-2697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
95000172
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000502
NV
Other
Enumeration date
09/26/2014
Last updated
05/24/2019
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