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Joanna Le Nguyen

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911

PECOS Enrollment

This provider is enrolled in PECOS as JOANNA NGUYEN.

Based on the most recent information from CMS, provider Joanna Le Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1962808915
Provider Type
Individual
Full Name
Nguyen, Joanna Le
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/18/2014
Last Updated
1/31/2017

Contact Information

Practice Location

1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911

(253) 761-4200

(253) 761-4201

Mailing Location

PO Box 1535, Tacoma, WA 98401-1535

(253) 761-4200

(253) 761-4201

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA60527527 Washington

Provider Identifiers

ID	Description	Issuer
ID 2043334	Description Medicaid	Issuer Unlisted Washington

Joanna Le Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Aguirre, Yareli

Wilcox, Tracey Lynn

Wambuzi, Selemani E

Green, Tenesha

Somasundaram, Soundarya

Sayers, Katie S

Zapatka, Jaryd

Puett, Leonard Robert

Dickens, Kesli Anne