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Individual

MR. ETHAN D NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
13065 W MCDOWELL RD STE A105, AVONDALE, AZ 85392-6440
(623) 536-6788
(235) 369-2886
Mailing address
13065 W MCDOWELL RD STE A105, AVONDALE, AZ 85392-6440
(623) 536-6788
(623) 536-9288

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09190130
AZ

Other

Enumeration date
05/10/2018
Last updated
10/21/2020
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