Phuoc Nguyen, CRNA
Nurse Anesthetist, Certified Registered in Philadelphia, PA. Individual provider (NPI-1).
NPI number1164029906
StatusActive
Last updated in NPPESOct 5, 2020
Details
- NPI
- 1164029906
- Entity type
- Individual (NPI-1)
- Name
- Phuoc Nguyen
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2020
- Certification date
- Oct 5, 2020
- Last updated
- Oct 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 131807 | PA | Yes |
Practice location
Jefferson Torresdale Hospital10800 Knights Rd,
Philadelphia, PA 19114
Phone 215-612-4000
Mailing address
1513 E Cayuga StPhiladelphia, PA 19124-3971
Phone 267-644-6825
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