Individual
VY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5460
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-5460
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11018941
FL
Other
Enumeration date
12/29/2022
Last updated
04/28/2023
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