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NPI Code Detail

MEDICARE: NINO NGUYEN SYKES PMHNP-BC

MEDICARE: NINO NGUYEN SYKES PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.1001202-NPCO

General Provider Information

NPI Number : 1598638264
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINO NGUYEN SYKES PMHNP-BC
Provider Business Mailing Address
First Line : 1600 W 24TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-1411
Country : US
Telephone Number : 719-821-3018
Fax Number :
Provider Business Practice Location Address
First Line : 1600 W 24TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-1411
Country : US
Telephone Number : 719-821-3018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2025
Last Update Date : 01/20/2026

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