Provider Demographics
NPI:1073206819
Name:NGUYEN, SYDNEY THUONG NGHI (NMD)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:THUONG NGHI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 W BRIDGE ST APT B24
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-4292
Mailing Address - Country:US
Mailing Address - Phone:719-722-1127
Mailing Address - Fax:
Practice Address - Street 1:3143 N 32ND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-6283
Practice Address - Country:US
Practice Address - Phone:602-975-6244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23-1786175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath