| Doctor Name: | MS. THERESA H.T. NGUYEN |
| NPI Number: | 1154655256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ABOC |
| License Number: | 2009603551 |
| Business Practice Address: | 4446 Summit Bridge Rd. Unit #7 Middletown, DE - 19709 |
| Business Phone Number: | 3024641069 |
| Business Fax Number: | 8884641099 |
| Mailing Address: | 4446 Summit Bridge Rd., Unit #7 MIDDLETOWN |
| State: | DE |
| Postal Code: | 19709 |
| Phone Number: | 3024641069 |
| Fax Number: | 8884641099 |
| NPI Enumeration Date: | 09/23/2009 |
| NPI Last Update Date: | 09/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 2009603551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |