Healthcare Provider Details

I. General information

NPI: 1184113425
Provider Name (Legal Business Name): YVONNE NGUYEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 LOUIS DR STE 202
WARMINSTER PA
18974-2847
US

IV. Provider business mailing address

600 LOUIS DR STE 202
WARMINSTER PA
18974-2847
US

V. Phone/Fax

Practice location:
  • Phone: 888-245-8488
  • Fax: 215-957-5401
Mailing address:
  • Phone: 888-245-8488
  • Fax: 215-957-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD482431
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101267679
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: