Individual
OLIVIA THUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 N DYSART RD STE G127, AVONDALE, AZ 85392-1011
(623) 322-0323
(623) 322-0757
Mailing address
3400 N DYSART RD STE G127, AVONDALE, AZ 85392-1011
(623) 322-0323
(623) 322-0757
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
PENDING
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2018
Last updated
10/01/2025
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