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NPI Code Detail

MEDICARE: MRS. MARIA NGUYEN PA-C

MEDICARE: MRS. MARIA NGUYEN PA-C
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
1363A00000XPhysician Assistant2286OK

General Provider Information

NPI Number : 1114922895
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA NGUYEN PA-C
Provider Business Mailing Address
First Line : 12205 SHERRIE ELAINE DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-1018
Country : US
Telephone Number : 316-619-4832
Fax Number :
Provider Business Practice Location Address
First Line : 3110 SW 89TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7900
Country : US
Telephone Number : 405-692-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 06/09/2026

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Directions to “ MRS. MARIA NGUYEN PA-C” Practice Location

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