Individual
OANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3715 WILLIAMS BLVD, SUITE #100, KENNER, LA 70065-3075
(504) 464-4550
(504) 465-8590
Mailing address
2104 GAUSE BLVD W, SUITE A, SLIDELL, LA 70460-4130
(985) 643-4575
(504) 643-4513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200859
LA
363AM0700X
Medical Physician Assistant
PA.200859
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06631011
—
MS
05
—
2400118
—
LA
Enumeration date
07/16/2015
Last updated
05/22/2023
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