| Thu Thanh Nguyen, FNP | |
|
104 Quail Trail, Unit B, Edgewood, NM 87015 | |
| (505) 208-0204 | |
| (505) 717-2884 |
| Full Name | Thu Thanh Nguyen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 104 Quail Trail, Edgewood, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205459369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 59655 (New Mexico) | Primary |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Entity Name | Epiphany Dermatology Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615760 PECOS PAC ID: 4082919691 Enrollment ID: O20160219000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Thu Thanh Nguyen, FNP 104 Quail Trail, Unit B, Edgewood, NM 87015 Ph: (505) 208-0204 | Thu Thanh Nguyen, FNP 104 Quail Trail, Unit B, Edgewood, NM 87015 Ph: (505) 208-0204 |
Nathan Duane Cogburn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: 505-281-3406 | |
Vivienne Prinz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Unit B, Edgewood, NM 87015 Phone: 505-208-0204 | |
Mary Ann Crow, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Tracy J. Graff, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Municipal Way, Edgewood, NM 87015 Phone: -- | |
Cierra Dorado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Quail Trl, Edgewood, NM 87015 Phone: 505-208-0204 | |
Chelsey Ann Weinbrecht, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Square H Rd, Edgewood, NM 87015 Phone: 505-363-1884 |