Individual
ANGELA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4122 NW 128TH TER, GAINESVILLE, FL 32606-4800
(352) 792-9995
Mailing address
817 NW 56TH TER STE B, GAINESVILLE, FL 32605-6401
(352) 234-3050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11022205
FL
Other
Enumeration date
02/27/2024
Last updated
08/18/2025
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