Mary Nguyen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3650 Colonial CT
Fort Myers, FL 33913-6636

Phone

(239) 274-6070

NPI assigned

Aug 18, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1780599225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 ALFREDA AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716463",
            "telephone_number": "502-240-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 COLONIAL CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136636",
            "telephone_number": "239-274-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh Nguyen, PHARMD
• David Nguyen, DC
• Huy Nguyen
• Jimmy Diep Nguyen, M.D.
• Katty Nguyen, OD
• Paul Nguyen
• Thuong Nguyen, OD
• Thy A Nguyen, O.D.
• Patricia Nicholas, D.P.M.
• Arielle Dominique Nichols, CNM

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.