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NPI Code Detail

MEDICARE: THI HONG VAN NGUYEN APRN

MEDICARE:   THI HONG VAN  NGUYEN  APRN
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
1363LF0000XFamily Nurse Practitioner11047754FL

General Provider Information

NPI Number : 1104759513
Entity Type Code : Individual
Provider Name (Legal Business Name) : THI HONG VAN NGUYEN APRN
Provider Business Mailing Address
First Line : 1341 MONTOYA DR
Second Line :
City : DELTONA
State : FL
Zip : 32738-6948
Country : US
Telephone Number : 386-917-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1055 SAXON BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8468
Country : US
Telephone Number : 386-917-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ THI HONG VAN NGUYEN APRN” Practice Location

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