Provider Demographics
NPI:1275410532
Name:NGUYEN, THUONG NGOC HUYEN
Entity type:Individual
Prefix:
First Name:THUONG NGOC HUYEN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 WILDWOOD PL
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-1361
Mailing Address - Country:US
Mailing Address - Phone:727-642-0523
Mailing Address - Fax:
Practice Address - Street 1:9018 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1749
Practice Address - Country:US
Practice Address - Phone:402-975-2380
Practice Address - Fax:402-975-2393
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide