Nguyen, Phuong L

Nguyen, Phuong L is an individual health care provider with primary practice located at 4475 S Eastern Ave , Las Vegas NV 89119-7826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Nguyen, Phuong L can be contacted via phone (702) 877-5199.

Contact Information

Primary practice address
4475 S Eastern Ave Las Vegas NV 89119-7826
Phone: (702) 877-5199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1118 Nevada

Profile Details

NPI number 1245487693
LBN Legal business name Nguyen, Phuong L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2008
Last updated Mar 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245487693 NPPES
Nevada MEDICAID 1245487693
Nevada Other P00892335

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