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NPI Code Detail

MEDICARE: HIEN NGUYEN PA-C

MEDICARE: HIEN NGUYEN PA-C
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician1316965536CO

General Provider Information

NPI Number : 1336901222
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIEN NGUYEN PA-C
Provider Business Mailing Address
First Line : 9085 W VIRGINIA AVE
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-2827
Country : US
Telephone Number : 720-472-2496
Fax Number :
Provider Business Practice Location Address
First Line : 1700 WADSWORTH BLVD
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-5256
Country : US
Telephone Number : 303-238-1488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 01/25/2024

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Directions to “ HIEN NGUYEN PA-C” Practice Location

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