MEDICARE: AI-CHAU HANG 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	363LF0000X	Family Nurse Practitioner	A005045	AR

General Provider Information

NPI Number	:	1457899338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AI-CHAU HANG NGUYEN

Provider Business Mailing Address
First Line	:	PO BOX 11449
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4005
Country	:	US
Telephone Number	:	479-709-1924
Fax Number	:	479-709-7499

Provider Business Practice Location Address
First Line	:	5428 ELLSWORTH RD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3220
Country	:	US
Telephone Number	:	479-709-7440
Fax Number	:	479-709-7441

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

Provider Enumeration Date	:	02/10/2017
Last Update Date	:	02/16/2017

Similar Medicare Providers

1215020037 — CENTRAL DISCOUNT PHARMACY
Practice Location Address:

5400 ELLSWORTH RD
FORT SMITH, AR
72903-3220

Practice Phone: 479-452-8686
Practice Fax: 479-452-8688

1679692610 — CENTRAL DISCOUNT PHARMACY
Practice Location Address:

5400 ELLSWORTH RD
FORT SMITH, AR
72903-3220

Practice Phone: 479-452-8686
Practice Fax: 479-452-8688

1699069328 — DR. RONALD ELWOOD SMITH P.D.
Practice Location Address:

5400 ELLSWORTH RD
FORT SMITH, AR
72903-3220

Practice Phone: 479-452-8686
Practice Fax: 479-452-8688

1457603433 — WESTERN ARKANSAS MEDICAL LLC
Practice Location Address:

3220 S 28TH ST
FORT SMITH, AR
72901-6904

Practice Phone: 479-221-6736
Practice Fax: 479-434-2145

1447241492 — JULIUS PHAM MD
Practice Location Address:

5801 SMITH AVE , DAVIS BUILDING, SUITE 3220
BALTIMORE, MD
21209-3652

Practice Phone: 410-735-6419
Practice Fax:

1194971374 — DR. KIEMANH PHAM M.D.
Practice Location Address:

5801 SMITH AVE , SUITE 3220
BALTIMORE, MD
21209-3652

Practice Phone: 410-735-6403
Practice Fax: 410-735-6425

Directions to “ AI-CHAU HANG NGUYEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.