Healthcare Provider Details

I. General information

NPI: 1588596019
Provider Name (Legal Business Name): EVON NGUYEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 E BEARDSLEY RD
PHOENIX AZ
85050-1300
US

IV. Provider business mailing address

2450 E BEARDSLEY RD
PHOENIX AZ
85050-1300
US

V. Phone/Fax

Practice location:
  • Phone: 480-375-2878
  • Fax:
Mailing address:
  • Phone: 602-326-1887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberI025858
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: