Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5101017719 | MI |
N | 111NI0900X | Internist | 5101017719 | MI |
Y | 207RN0300X | Nephrologist | DO1801 | NV |
NPI | 1043471758 |
---|---|
Provider Name | Dr. Trang Quynh Nguyen-Le |
First Address | Las Vegas, NV 89169-1778 |
Second Address | Henderson, NV 89052-3992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 14/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043471758 | (05) | NV |
861718 | (05) | AZ |