Jonie Thi Nguyen
Specialist/Technologist, Other, Art, Medical in Maple Valley, WA. Individual provider (NPI-1).
NPI number1003572074
StatusActive
Last updated in NPPESNov 29, 2021
Details
- NPI
- 1003572074
- Entity type
- Individual (NPI-1)
- Name
- Jonie Thi Nguyen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2021
- Certification date
- Nov 29, 2021
- Last updated
- Nov 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZA2600X | Specialist/Technologist, Other, Art, Medical | – | WA | Yes |
| 246Z00000X | Specialist/Technologist, Other | – | WA |
Practice location
26207 Maple Valley Black Diamond Rd Se Ste D3Maple Valley, WA 98038-8378
Phone 253-353-3337
Mailing address
27018 237th Pl SeMaple Valley, WA 98038-5041
Phone 253-353-3337
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