MEDICARE: ANH 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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1558294496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANH NGUYEN

Provider Business Mailing Address
First Line	:	1854 E CARRIAGE HOUSE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-5543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 W ESPLANADE AVE
Second Line	:
City	:	KENNER
State	:	LA
Zip	:	70065-2467
Country	:	US
Telephone Number	:	504-468-8600
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ ANH NGUYEN ” Practice Location

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