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NPI Code Detail

MEDICARE: MS. THAO THU NGUYEN ND

MEDICARE: MS. THAO THU NGUYEN ND
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
1133N00000XNutritionistCA

General Provider Information

NPI Number : 1932987682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THAO THU NGUYEN ND
Provider Business Mailing Address
First Line : 637 3RD AVE W APT 211
Second Line :
City : SEATTLE
State : WA
Zip : 98119-3847
Country : US
Telephone Number : 213-949-9538
Fax Number :
Provider Business Practice Location Address
First Line : 1406 E PINE ST
Second Line :
City : SEATTLE
State : WA
Zip : 98122-4032
Country : US
Telephone Number : 206-466-2933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2023
Last Update Date : 09/14/2023

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Directions to “ MS. THAO THU NGUYEN ND” Practice Location

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