Provider Demographics
NPI:1033856554
Name:NGUYEN, PHUONG HONG
Entity type:Individual
Prefix:MS
First Name:PHUONG
Middle Name:HONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8435 S VIA DEL ARRIERO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-5047
Mailing Address - Country:US
Mailing Address - Phone:402-320-3006
Mailing Address - Fax:
Practice Address - Street 1:3146 TIGER RUN CT STE 105
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-6696
Practice Address - Country:US
Practice Address - Phone:858-227-0887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker