Individual
ARDEN AMAYUN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2741 CHOPIN AVE, SAN JOSE, CA 95122-1310
(408) 230-7679
(669) 766-0080
Mailing address
2741 CHOPIN AVE, SAN JOSE, CA 95122-1310
(408) 230-7679
(669) 766-0080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95207578
CA
163WH0200X
Home Health Registered Nurse
95207578
CA
163WI0500X
Infusion Therapy Registered Nurse
95207578
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
95207578
CA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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