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NPI Code Detail

MEDICARE: DR. MAI LY THI HOLLY NGUYEN AU.D.

MEDICARE:  DR. MAI LY THI HOLLY NGUYEN  AU.D.
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
1237600000XAudiologist-Hearing Aid FitterA-245NV
2231H00000XAudiologistA-245NV

General Provider Information

NPI Number : 1336585488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAI LY THI HOLLY NGUYEN AU.D.
Provider Business Mailing Address
First Line : 5130 S FORT APACHE RD # 215-430
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1719
Country : US
Telephone Number : 702-755-9597
Fax Number : 702-933-8688
Provider Business Practice Location Address
First Line : 6767 W TROPICANA AVE STE 212
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4760
Country : US
Telephone Number : 702-755-9597
Fax Number : 702-933-8688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2013
Last Update Date : 12/26/2023

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Directions to “ DR. MAI LY THI HOLLY NGUYEN AU.D.” Practice Location

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