MEDICARE: TRINH NGUYEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	242754	AZ
2	363L00000X	Nurse Practitioner	242754	AZ

General Provider Information

NPI Number	:	1053264291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRINH NGUYEN

Provider Business Mailing Address
First Line	:	33 N LINDSAY RD STE 111
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-5808
Country	:	US
Telephone Number	:	480-307-2979
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 N LINDSAY RD STE 111
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85234-5808
Country	:	US
Telephone Number	:	480-307-2979
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ TRINH NGUYEN ” Practice Location

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