Individual ProviderAngel NguyenPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 NE Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293(360) 254-6161PECOS EnrollmentBased on the most recent information from CMS, provider Angel Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1912597410Provider TypeIndividualFull NameNguyen, AngelCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date1/19/2021Last Updated1/10/2024Contact InformationPractice LocationPractice Address200 NE Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293Phone(360) 254-6161FaxUnlisted FaxMailing LocationMailing Address200 NE Mother Joseph Pl Ste 210, Vancouver, WA 98664-3295Phone(360) 254-6161FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AS0400XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA61372427WashingtonCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA61372427Washington