Provider Demographics
NPI:1164914610
Name:NGUYEN, SHAWN XUAN (CNIM)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:XUAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:THINH
Other - Middle Name:XUAN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNIM
Mailing Address - Street 1:1660 S ALBION ST STE 227
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4041
Mailing Address - Country:US
Mailing Address - Phone:615-317-6106
Mailing Address - Fax:
Practice Address - Street 1:1660 S ALBION ST STE 425
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4043
Practice Address - Country:US
Practice Address - Phone:720-214-2549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1281246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic