Provider Demographics
NPI:1689849564
Name:NGUYEN VAN BINH, NICOLE (AP,OMD)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:NGUYEN VAN BINH
Suffix:
Gender:F
Credentials:AP,OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5523
Mailing Address - Country:US
Mailing Address - Phone:954-540-1648
Mailing Address - Fax:
Practice Address - Street 1:1438 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5523
Practice Address - Country:US
Practice Address - Phone:954-540-1648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1276171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist