Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ethan D Nguyen, NP-C

Individual provider Family Nurse Practitioner · NPI 1821587346

Mr. Ethan D Nguyen, NP-C is a Family Practice in Avondale, Arizona. Qualified in 2018, 8 years ago. Practices with Spectrum Medical Care Center, an 8-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

13065 W McDowell Rd Ste A105
Avondale, AZ 85392-6440
Phone: (623) 536-6788
Fax: (235) 369-2886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F09190130 (AZ)

Record details

NPI number1821587346
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedMay 10, 2018
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Spectrum Medical Care Center — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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