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NPI Code Detail

MEDICARE: VIVIAN NGUYEN

MEDICARE: VIVIAN 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 : 1952267312
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN NGUYEN
Provider Business Mailing Address
First Line : 4710 ELM ST APT W902
Second Line :
City : BETHESDA
State : MD
Zip : 20814-3823
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4494 PALMER RD N WALTER REED NATIONAL MEDICAL CENTER
Second Line :
City : BETHESDA
State : MD
Zip : 20889-0001
Country : US
Telephone Number : 561-859-6888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ VIVIAN NGUYEN ” Practice Location

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