Individual ProviderCam Thi NguyenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990(980) 442-2000PECOS EnrollmentBased on the most recent information from CMS, provider Cam Thi Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1699422352Provider TypeIndividualFull NameNguyen, Cam ThiCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date3/3/2022Last Updated5/4/2023Contact InformationPractice LocationPractice Address1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990Phone(980) 442-2000FaxUnlisted FaxMailing LocationMailing AddressPO Box 19305, Charlotte, NC 28219-9305PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5017172North CarolinaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5017172North Carolina