Individual
DUYEN THI MY NGUYEN
Active
Individual
DUYEN THI MY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2015008081
MO
363LA2200X
Adult Health Nurse Practitioner
53-76748-111
KS
363LG0600X
Gerontology Nurse Practitioner
2015008081
MO
363LG0600X
Gerontology Nurse Practitioner
53-76748-111
KS
363LP2300X
Primary Care Nurse Practitioner
2015008081
MO
363LP2300X
Primary Care Nurse Practitioner
53-76748-111
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01586153
RAILROAD MEDICARE PIN
MO
Enumeration date
04/07/2015
Last updated
02/29/2016
Update your record
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