| Doctor Name: | MARIANA THUYEN NGUYEN |
| NPI Number: | 1023368040 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN188608 |
| Business Practice Address: | 770 Walnut St Macon, GA - 312017307 |
| Business Phone Number: | 4787874266 |
| Business Fax Number: | 4787874199 |
| Mailing Address: | Po Box 4363, MACON |
| State: | GA |
| Postal Code: | 312084363 |
| Phone Number: | 4787874266 |
| Fax Number: | 4787874199 |
| NPI Enumeration Date: | 09/17/2012 |
| NPI Last Update Date: | 05/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN188608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |