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Individual
MS. ANNA PHAM
Active
Individual
MS. ANNA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN243221
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN243221
MA
364SG0600X
Gerontology Clinical Nurse Specialist
RN243221
MA
Other
Enumeration date
08/12/2013
Last updated
09/30/2013
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