Healthcare Provider Details

I. General information

NPI: 1801126743
Provider Name (Legal Business Name): TIFFANY THANH THUY NGUYEN D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2009
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 KAKALA ST APT 305
KAPOLEI HI
96707-4608
US

IV. Provider business mailing address

840 KAKALA ST APT 305
KAPOLEI HI
96707-4608
US

V. Phone/Fax

Practice location:
  • Phone: 808-799-4331
  • Fax:
Mailing address:
  • Phone: 808-799-4331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1027
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: