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NPI Code Detail

MEDICARE: DR. AMY NGUYEN DC

MEDICARE:  DR. AMY  NGUYEN  DC
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
1111NR0400XRehabilitation Chiropractor0104557389VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10104557389OTHERVACHIROPRACTIC LICENSE

General Provider Information

NPI Number : 1881122125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY NGUYEN DC
Provider Business Mailing Address
First Line : 3060 WILLIAMS DR STE 300
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4648
Country : US
Telephone Number : 703-672-1919
Fax Number :
Provider Business Practice Location Address
First Line : 3060 WILLIAMS DR STE 300
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4648
Country : US
Telephone Number : 703-672-1919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 02/06/2025

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Directions to “ DR. AMY NGUYEN DC” Practice Location

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