Healthcare Provider Details

I. General information

NPI: 1023937570
Provider Name (Legal Business Name): BRANDON NGUYEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15933 W 60TH CIR
GOLDEN CO
80403-2639
US

IV. Provider business mailing address

15933 W 60TH CIR
GOLDEN CO
80403-2639
US

V. Phone/Fax

Practice location:
  • Phone: 720-345-4792
  • Fax:
Mailing address:
  • Phone: 720-345-4792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberRN.1697005
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: