MEDICARE: HIEU TRUNG 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
1	225X00000X	Occupational Therapist	16-0758	NV

General Provider Information

NPI Number	:	1225998586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIEU TRUNG NGUYEN

Provider Business Mailing Address
First Line	:	3236 MONTE LUNA AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1873
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3236 MONTE LUNA AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1873
Country	:	US
Telephone Number	:	702-815-1550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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Directions to “ HIEU TRUNG NGUYEN ” Practice Location

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