Individual
DIANA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-6070
(260) 373-6704
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003895
OH
213ES0131X
Foot Surgery Podiatrist
Primary
07001292A
IN
390200000X
Student in an Organized Health Care Education/Training Program
135000876
IL
Other
Enumeration date
06/24/2015
Last updated
12/06/2023
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