Individual
THUYANH NGOC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
307 EGG HARBOR RD, SEWELL, NJ 08080-1850
(866) 389-2727
Mailing address
307 EGG HARBOR RD, SEWELL, NJ 08080-1850
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00365000
NJ
363LF0000X
Family Nurse Practitioner
Primary
25NJ00365000
NJ
363LF0000X
Family Nurse Practitioner
26NJ00365000
NJ
Other
Enumeration date
02/12/2012
Last updated
02/14/2024
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