1881844793 NPI number — MRS. MAI HUYNH NGUYEN

Table of content: MRS. MAI HUYNH NGUYEN (NPI 1881844793)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881844793 NPI number — MRS. MAI HUYNH NGUYEN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NGUYEN
Provider First Name:
MAI
Provider Middle Name:
HUYNH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NGUYEN
Provider Other First Name:
MAI
Provider Other Middle Name:
HUYNH
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1881844793
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
339 TERRY PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TERRYTOWN
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70056-2618
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-373-6443
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
339 TERRY PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TERRYTOWN
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70056-2618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-373-6443
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  07089 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 07089 . This is a "PHYSICAL THERAPY LICENSE IN LOUISIANA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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