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NPI Code Detail

MEDICARE: ANDREW NGUYEN

MEDICARE:   ANDREW  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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1639022460
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW NGUYEN
Provider Business Mailing Address
First Line : 1959 NE PACIFIC STREET; BOX 357134
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC STREET; BOX 357134
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 408-833-4364
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ ANDREW NGUYEN ” Practice Location

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