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Individual
PETER PHAM
Active
Individual
PETER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95181593
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10031892
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11021928
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1170196
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
882787
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019677
CA
Other
Enumeration date
02/13/2019
Last updated
08/04/2026
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