NPI 1003199910

Autumn Nguyen, PAC

Practitioner Physician Assistant Livonia, MI

Practice location

Address: 38935 Ann Arbor Rd Credentialing/Payer Enrollment Dept, Livonia, MI 48150-3397
Phone: (734) 632-0175
Fax: (734) 805-0489
Mailing address: 601 Park St Emergency Department, Honesdale, PA 18431-1445

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MA055123 (PA)

Other Physician Assistant providers in Michigan →

Registry record

NPI: 1003199910
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2011
Record last updated: 17 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.