Provider Demographics
NPI:1760160493
Name:NGUYEN, HAILEY NHUNG (AG-CNS)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:NHUNG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:AG-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3028 PENCIL CHOLLA
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-6145
Mailing Address - Country:US
Mailing Address - Phone:210-636-2514
Mailing Address - Fax:
Practice Address - Street 1:3028 PENCIL CHOLLA
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-6145
Practice Address - Country:US
Practice Address - Phone:210-636-2514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1043010364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist