Provider Demographics
NPI:1982180683
Name:NGUYEN, BIEN XUAN (NP-C)
Entity type:Individual
Prefix:
First Name:BIEN
Middle Name:XUAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7531
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-0924
Mailing Address - Country:US
Mailing Address - Phone:253-499-6999
Mailing Address - Fax:888-440-5188
Practice Address - Street 1:21525 SR 410 E STE A
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-4101
Practice Address - Country:US
Practice Address - Phone:253-499-6999
Practice Address - Fax:888-440-5188
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60957064207QA0401X, 363LF0000X
WARN60957063163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)