MEDICARE: ANTHONY 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	367500000X	Certified Registered Nurse Anesthetist	216796	OK

General Provider Information

NPI Number	:	1235818188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY NGUYEN

Provider Business Mailing Address
First Line	:	8030 PENNTH AVE APT A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-7427
Country	:	US
Telephone Number	:	859-963-5443
Fax Number	:

Provider Business Practice Location Address
First Line	:	8030 PENNTH AVE APT A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-7427
Country	:	US
Telephone Number	:	859-963-5443
Fax Number	:

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

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	03/07/2024

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