Individual
LOAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 BIDDLE AVE, WYANDOTTE, MI 48192-4650
(734) 246-5705
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704331103
MI
363LF0000X
Family Nurse Practitioner
Primary
4704331103
MI
Other
Enumeration date
04/21/2025
Last updated
03/30/2026
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