Individual
VANESSA TRAN PHAN-DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
57850 VAN DYKE RD, WASHINGTON, MI 48094-3826
(586) 935-4000
Mailing address
8812 RIDGE DR, WASHINGTON, MI 48095
(616) 885-7772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704290137
MI
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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