Provider Demographics
NPI:1376748707
Name:NGUYEN, WHITNEY ANN (MT)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:ANN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 TURMAN DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9378
Mailing Address - Country:US
Mailing Address - Phone:719-494-5622
Mailing Address - Fax:
Practice Address - Street 1:140 BOARDWALK DR
Practice Address - Street 2:SUITE, A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3047
Practice Address - Country:US
Practice Address - Phone:970-223-8293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist