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NPI Code Detail

MEDICARE: AUDIOLOGY BY HOLLY NGUYEN LLC

MEDICARE: AUDIOLOGY BY HOLLY NGUYEN LLC
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
1261QH0700XHearing and Speech Clinic/CenterA-245NV

General Provider Information

NPI Number : 1740607472
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUDIOLOGY BY HOLLY NGUYEN LLC
Provider Business Mailing Address
First Line : 6787 W TROPICANA AVE
Second Line : SUITE 249
City : LAS VEGAS
State : NV
Zip : 89103-4757
Country : US
Telephone Number : 702-755-9597
Fax Number : 702-933-8688
Provider Business Practice Location Address
First Line : 6787 W TROPICANA AVE
Second Line : SUITE 249
City : LAS VEGAS
State : NV
Zip : 89103-4757
Country : US
Telephone Number : 702-755-9597
Fax Number : 702-933-8688
Authorized Official
Title or Position : OWNER
Name : DR. MAI LY THI HOLLY NGUYEN
Credential : AU.D.
Telephone Number : 702-755-9597
Provider Enumeration Date : 03/19/2014
Last Update Date : 07/30/2015

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Directions to “AUDIOLOGY BY HOLLY NGUYEN LLC ” Practice Location

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