Provider Demographics
NPI:1740607472
Name:AUDIOLOGY BY HOLLY NGUYEN LLC
Entity Type:Organization
Organization Name:AUDIOLOGY BY HOLLY NGUYEN LLC
Other - Org Name:AUDIOLOGY BY HOLLY NGUYEN LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAI LY
Authorized Official - Middle Name:THI HOLLY
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:702-755-9597
Mailing Address - Street 1:6787 W TROPICANA AVE
Mailing Address - Street 2:SUITE 249
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-4757
Mailing Address - Country:US
Mailing Address - Phone:702-755-9597
Mailing Address - Fax:702-933-8688
Practice Address - Street 1:6787 W TROPICANA AVE
Practice Address - Street 2:SUITE 249
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-4757
Practice Address - Country:US
Practice Address - Phone:702-755-9597
Practice Address - Fax:702-933-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-245261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech