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

Individual provider Family Nurse Practitioner · NPI 1205459369

Thu Thanh Nguyen, FNP is a Nurse Practitioner in Edgewood, New Mexico. Qualified in 2019, 7 years ago. Practices with Epiphany Dermatology of New Mexico, LLC, a 30-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
7
Licensed in
NM
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

104 Quail Trl Unit B
Edgewood, NM 87015
Phone: (505) 208-0204
Fax: (505) 717-2884
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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 59655 (NM)

Record details

NPI number1205459369
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 24, 2020
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Epiphany Dermatology Of New Mexico, Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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