Provider Demographics
NPI:1720141666
Name:NGUYEN, HANG (PA-C)
Entity Type:Individual
Prefix:
First Name:HANG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAMPUS BOX 20, PO BOX 173362
Mailing Address - Street 2:PLAZA BUILDING 150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217
Mailing Address - Country:US
Mailing Address - Phone:303-615-9999
Mailing Address - Fax:720-778-5850
Practice Address - Street 1:955 LAWRENCE WAY
Practice Address - Street 2:PLAZA BUILDING 150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80217
Practice Address - Country:US
Practice Address - Phone:303-615-9999
Practice Address - Fax:720-778-5850
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2363363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical