| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AN BAO NGUYEN | 1285201590 | 2021-06-06 |
An Bao Nguyen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285201590. Registration indicates An Bao Nguyen is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Anesthesiologist Assistant (Anesthesiologist Assistant, ) (Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Mr. An Bao Nguyen CAA |
| Practice Office Address | 2401 W UNIVERSITY AVE MUNCIE, IN US |
| Practice Office Telephone | 7657473111 |
| Mailing Address | 1860 ROSALIND AVE CLEVELAND, OH 441124517 US |
| Business Telephone | 3032176571 |
| Code | Practice | License No State |
|---|---|---|
| 367H00000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers |