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NPI Code Detail

MEDICARE: AMY NGUYEN NP

MEDICARE: AMY NGUYEN NP
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
1363L00000XNurse Practitioner1113480TX

General Provider Information

NPI Number : 1780392233
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY NGUYEN NP
Provider Business Mailing Address
First Line : 5119 POMEGRANATE PATH
Second Line :
City : MANVEL
State : TX
Zip : 77578-4073
Country : US
Telephone Number : 832-757-8475
Fax Number :
Provider Business Practice Location Address
First Line : 6565 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 346-238-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2022
Last Update Date : 05/06/2026

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