MRS. HOLLY T NGUYEN (NPI# 1144236266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144236266 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY T NGUYEN |
| Credential | PAC |
| Practice Address |
64 Concord St Ste C Wilmington MA 01887 |
| Practice Telephone | 9789889700 |
| Practice Fax Number | 9789889701 |
| Mailing Telephone | 9789889700 |
| Mailing Fax Number | 9789889701 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1035 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CONTROL LIC | MN0377881J | 01 |
| MA | LICENSE | 1035 | 01 |
| TAX ID | 043480187 | 01 | |
| DEA | MN0324018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528547270 | Holly Hong Nguyen | Specialist/Technologist, Other | 1424 Soaptree Ln, Fort Worth, TX 76177-7227 | 2018-08-13 |
| 1053421594 | Holly Nguyen | Dentist | 30592 Santa Margarita Pkwy, Ste. D, Rancho Santa Margarita, CA 92688-5802 | 2006-08-30 |
| 1912411281 | Holly Hang Nguyen | Pharmacist | 1309 Fulton Ave, Sacramento, CA 95825-3603 | 2017-11-25 |
| 1851608376 | Holly Maria Nguyen | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2010-09-03 |
| 1457546103 | Holly M Nguyen | Nurse Anesthetist, Certified Registered | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2007-09-06 |
| Street Address |
64 CONCORD ST STE C |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1770950305 | Angelica Jackson | Physician Assistant | 1982 Eastwood Rd, Wilmington, NC 28403-7213 | 2015-08-31 |
| 1396015939 | Access Internal Medicine, PC | Physician Assistant | 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 | 2012-01-11 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1932387842 | Gabrielle Logan Neal-barney | Physician Assistant | 2301 Delaney Ave, Wilmington, NC 28403-6012 | 2008-02-01 |
| 1528247244 | Teresa A. Holler | Physician Assistant | 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 | 2007-10-30 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
Please comment or provide details below to improve the information on MRS. HOLLY T NGUYEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.