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NPI Code Detail

MEDICARE: ANNIE MAI NHI NGUYEN BA, CPC, CHES

MEDICARE: ANNIE MAI NHI NGUYEN BA, CPC, CHES
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
1101Y00000XCounselor61581685WA
2175T00000XPeer SpecialistWA

General Provider Information

NPI Number : 1144064122
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE MAI NHI NGUYEN BA, CPC, CHES
Provider Business Mailing Address
First Line : 108 167TH PL SW
Second Line :
City : BOTHELL
State : WA
Zip : 98012-5967
Country : US
Telephone Number : 206-372-5327
Fax Number :
Provider Business Practice Location Address
First Line : 2008 WESTLAKE AVE STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2695
Country : US
Telephone Number : 206-956-9570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2024
Last Update Date : 06/09/2026

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