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NPI Code Detail

MEDICARE: THAM NGUYEN

MEDICARE: THAM 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
1163WM0705XMedical-Surgical Registered Nurse370138NC

General Provider Information

NPI Number : 1679424790
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAM NGUYEN
Provider Business Mailing Address
First Line : 5042 BEACON AVE
Second Line :
City : MONROE
State : NC
Zip : 28110-9855
Country : US
Telephone Number : 704-912-8760
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-355-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ THAM NGUYEN ” Practice Location

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