Individual
HANNAH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3501 SEVERN AVE, METAIRIE, LA 70002
(504) 835-0565
Mailing address
3501 SEVERN AVE, METAIRIE, LA 70002-3451
(504) 835-0565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200210
LA
363LP2300X
Primary Care Nurse Practitioner
200210
LA
Other
Enumeration date
09/20/2018
Last updated
01/20/2020
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