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NPI Code Detail

MEDICARE: CHRISTINA NGUYEN RN

MEDICARE: CHRISTINA NGUYEN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1004418TX

General Provider Information

NPI Number : 1003427295
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA NGUYEN RN
Provider Business Mailing Address
First Line : 9005 FOXWOOD DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-8611
Country : US
Telephone Number : 817-948-2661
Fax Number :
Provider Business Practice Location Address
First Line : 9005 FOXWOOD DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-8611
Country : US
Telephone Number : 817-948-2661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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Directions to “ CHRISTINA NGUYEN RN” Practice Location

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