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Individual

MR. NGUYEN P. NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5365
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L10032187
DE
367500000X
Certified Registered Nurse Anesthetist
LS0A00545
DE
367H00000X
Anesthesiologist Assistant
L10032187
DE

Other

Enumeration date
02/06/2008
Last updated
12/29/2011
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