Individual
THUAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
196878
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0990021-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023470
KAISER COMMERCIAL NUMBER
CO
05
—
100056230E
—
CO
05
—
100056230E
—
KS
05
—
74807561
—
CO
Enumeration date
09/17/2008
Last updated
10/23/2017
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