Healthcare Provider Details

I. General information

NPI: 1437092194
Provider Name (Legal Business Name): NGUYEN THI MY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1557 6TH AVE
DES MOINES IA
50314-2804
US

IV. Provider business mailing address

1557 6TH AVE
DES MOINES IA
50314-2804
US

V. Phone/Fax

Practice location:
  • Phone: 515-421-3379
  • Fax:
Mailing address:
  • Phone: 515-421-3379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: