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NPI Code Detail

MEDICARE: TIFFANY NGUYEN

MEDICARE: TIFFANY 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 ProgramPG211077OR
2207Q00000XFamily Medicine PhysicianDR.0075711CO

General Provider Information

NPI Number : 1679147144
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY NGUYEN
Provider Business Mailing Address
First Line : 2695 ROCKY MOUNTAIN AVE STE 150
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9071
Country : US
Telephone Number : 970-624-2422
Fax Number :
Provider Business Practice Location Address
First Line : 5589 ARGONNE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-8989
Country : US
Telephone Number : 303-371-0330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2021
Last Update Date : 08/19/2025

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Directions to “ TIFFANY NGUYEN ” Practice Location

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