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NPI Code Detail

MEDICARE: TAMMY D. NGUYEN FNP

MEDICARE:   TAMMY D. NGUYEN  FNP
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
1363LF0000XFamily Nurse Practitioner0024181500VA
2363LF0000XFamily Nurse Practitioner209007460IL

General Provider Information

NPI Number : 1518105212
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY D. NGUYEN FNP
Provider Business Mailing Address
First Line : 415 E. MONROE AVE
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22046-4201
Country : US
Telephone Number : 703-538-4835
Fax Number :
Provider Business Practice Location Address
First Line : 415 E MONROE AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1624
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2009
Last Update Date : 06/26/2026

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