Individual
SANDY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 230-6443
Mailing address
731 LONGSHORE AVE, PHILADELPHIA, PA 19111-4324
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP034751
PA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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