Healthcare Provider Details

I. General information

NPI: 1811478282
Provider Name (Legal Business Name): ANH NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 W 26TH AVE STE 465C
DENVER CO
80211-5315
US

IV. Provider business mailing address

5188 GRAY ST
DENVER CO
80212-2847
US

V. Phone/Fax

Practice location:
  • Phone: 720-893-1415
  • Fax:
Mailing address:
  • Phone: 720-862-9278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: