Individual
MRS. QUYNH-NHU PHAM NIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 N BROADWAY, PBO CREDENTIALING, EVERETT, WA 98201-1409
(425) 317-0699
(425) 317-0291
Mailing address
12800 BOTHELL-EVERETT HWY, EVERETT, WA 98208-6644
(425) 316-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
58998
GA
207Q00000X
Family Medicine Physician
MD00045858
WA
207Q00000X
Family Medicine Physician
MD427869
PA
208D00000X
General Practice Physician
Primary
MD00045858
WA
Other
Enumeration date
07/25/2006
Last updated
12/15/2009
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