Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 18004169A | IN |
NPI | 1013560333 |
---|---|
Provider Name | Nhi Thi Tuyet Nguyen |
First Address | Indianapolis, IN 46202-1303 |
Second Address | Indianapolis, IN 46202-1303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2019 |
Last Update Date | 17/07/2019 |