Individual
ANN THUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4012 COMMONS DR W, SUITE 100, DESTIN, FL 32541-8422
(850) 837-0576
(850) 837-1051
Mailing address
PO BOX 936, SHALIMAR, FL 32579-0936
(850) 837-0576
(850) 837-1051
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME77139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49256
BCBS
FL
Enumeration date
08/22/2006
Last updated
07/08/2007
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