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NPI Code Detail

MEDICARE: MELINDA NGUYEN FNP

MEDICARE: MELINDA 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 Practitioner53-81225-092KS

General Provider Information

NPI Number : 1619613072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA NGUYEN FNP
Provider Business Mailing Address
First Line : 12008 HORTON ST APT 51
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66209-3733
Country : US
Telephone Number : 970-210-5316
Fax Number :
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75244-5045
Country : US
Telephone Number : 855-984-5121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2022
Last Update Date : 04/12/2026

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