Dianne Anh-Dao Nguyen, PHARMD
Individual provider Active NPI Pharmacist · Maurice, LA
NPI 1487932778 · NPPES record last updated Aug 3, 2011
Key facts
- NPI
- 1487932778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19474 (LA)
- Practice address
- 3495 Pressley Rd
Maurice, LA 70555-3215 - Phone
- (337) 305-2117
- NPI assigned
- Aug 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19474 | LA | MD | Social Worker |
Interoperability endpoints
- diannenguyen@clrxpharmacytampa.libertysoftwaredirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19474 | LA | Yes |
Addresses
Primary practice location
3495 Pressley Rd
Maurice, LA 70555-3215
Mailing address
3495 Pressley Rd
Maurice, LA 70555-3215
Phone (337) 305-2117
Other providers in Maurice, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.