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NPI Code Detail

MEDICARE: TIVOLI NGUYEN

MEDICARE: TIVOLI 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 Program

General Provider Information

NPI Number : 1902754526
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIVOLI NGUYEN
Provider Business Mailing Address
First Line : 1430 TULANE AVE # 8642
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-2632
Country : US
Telephone Number : 504-988-2794
Fax Number : 504-988-5059
Provider Business Practice Location Address
First Line : 2000 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-3018
Country : US
Telephone Number : 504-988-2794
Fax Number : 504-988-5059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ TIVOLI NGUYEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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