Individual
TIFFANY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(316) 962-2000
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-85882-091
KS
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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