Provider Demographics
NPI:1265839146
Name:NGUYEN, MORRIS (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MORRIS
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 S JONES BLVD
Mailing Address - Street 2:#120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2208
Mailing Address - Country:US
Mailing Address - Phone:702-434-8880
Mailing Address - Fax:
Practice Address - Street 1:3750 S JONES BLVD
Practice Address - Street 2:#120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2208
Practice Address - Country:US
Practice Address - Phone:702-434-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical