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NPI Code Detail

MEDICARE: TOMMY NGUYEN DNP, CRNA

MEDICARE: TOMMY NGUYEN DNP, CRNA
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
1367500000XCertified Registered Nurse Anesthetist322038AZ

General Provider Information

NPI Number : 1427941129
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMMY NGUYEN DNP, CRNA
Provider Business Mailing Address
First Line : 19004 N 71ST DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-5872
Country : US
Telephone Number : 580-380-9661
Fax Number :
Provider Business Practice Location Address
First Line : 10401 W THUNDERBIRD BLVD
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3004
Country : US
Telephone Number : 623-832-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2025
Last Update Date : 06/16/2025

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