Individual ProviderPhuong NguyenStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-1000(480) 703-6212PECOS EnrollmentBased on the most recent information from CMS, provider Phuong Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1083309389Provider TypeIndividualFull NameNguyen, PhuongCredentialDOGenderFemaleSole ProprietorYesEnumeration Date4/11/2023Last Updated4/24/2023Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-1000FaxUnlisted FaxMailing LocationMailing Address3851 E Balsam Dr, Chandler, AZ 85286-0210Phone(480) 703-6212FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer