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Individual
MARIAN GAIDA PHAM
Active
Individual
MARIAN GAIDA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28191443A
IN
363LC0200X
Critical Care Medicine Nurse Practitioner
343112
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
71010705A
IN
Other
Enumeration date
12/30/2020
Last updated
10/16/2026
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