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NPI Code Detail

MEDICARE: TRINH NGUYEN APRN

MEDICARE: TRINH 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 Practitioner11028978FL
2208100000XPhysical Medicine & Rehabilitation Physician11028978FL

General Provider Information

NPI Number : 1336920560
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINH NGUYEN APRN
Provider Business Mailing Address
First Line : 1931 MARTIN LUTHER KING JR BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5314
Country : US
Telephone Number : 850-691-6526
Fax Number :
Provider Business Practice Location Address
First Line : 1931 MARTIN LUTHER KING JR BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5314
Country : US
Telephone Number : 850-740-5010
Fax Number : 850-804-1705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2023
Last Update Date : 01/21/2026

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Directions to “ TRINH NGUYEN APRN” Practice Location

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