Individual
PHUONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 W WARNER RD STE 12, CHANDLER, AZ 85224-1674
(480) 831-8457
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN193077
AZ
363LF0000X
Family Nurse Practitioner
Primary
296404
AZ
Other
Enumeration date
08/18/2020
Last updated
10/11/2024
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