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NPI Code Detail

MEDICARE: NICOLE NGUYEN

MEDICARE: NICOLE NGUYEN
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
1183500000XPharmacistS022149AZ

General Provider Information

NPI Number : 1093262198
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE NGUYEN
Provider Business Mailing Address
First Line : 6002 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-1801
Country : US
Telephone Number : 602-728-0437
Fax Number :
Provider Business Practice Location Address
First Line : 6002 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-1801
Country : US
Telephone Number : 602-728-0437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2016
Last Update Date : 09/06/2016

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Directions to “ NICOLE NGUYEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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