Individual
VAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
4140 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2308
(763) 478-4612
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7664
MN
363LF0000X
Family Nurse Practitioner
7664
MN
Other
Enumeration date
07/22/2020
Last updated
02/16/2021
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