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Search › Alaska › 183500000X

Ethan Nguyen

NPI 1528949435 · on the registry since 2025 · sole proprietor

Practice

Address
330 W Dimond Blvd
Anchorage, AK 99515
Phone
(907) 267-7116
Fax
(907) 344-1297
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska