Individual
LANANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2621 W HORIZON RIDGE PKWY, SUITE 110, HENDERSON, NV 89052-2895
(702) 803-5534
(702) 550-4920
Mailing address
2621W HORIZON RIDGE PKWY 110, HENDERSON, NV 89052-2895
(702) 803-5534
(702) 550-4920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22208
CA
363LF0000X
Family Nurse Practitioner
Primary
APRN001922
NV
363LF0000X
Family Nurse Practitioner
R190658
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528352341
—
NV
Enumeration date
06/09/2011
Last updated
09/03/2015
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