Active NPIIndividual providerSole proprietor

Phuong Phan, FNP-BC

Nurse Practitioner, Family in Charlestown, Massachusetts

NPI Number1033466040
Practice location
529 Main St, Suite 216, Charlestown, MA 02129-1125
Fax
—
Last updated
August 8, 2012

Phuong Phan is a Nurse Practitioner, Family based in Charlestown, MA. Phuong Phan practices in Charlestown, MA and has the professional credentials of FNP-BC. The NPI Number for Phuong Phan is 1033466040 and holds a License No. RN2272283 (MA). The current practice location address for Phuong Phan is 529 Main St, Suite 216, Charlestown, MA 02129-1125 and can be reached out via phone at 617-895-6488.

Provider Profile Details

NPI Number
1033466040
Provider Name
Phuong Phan
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
529 Main St, Suite 216, Charlestown, MA 02129-1125
Phone Number
617-895-6488
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2012
Last Update Date
August 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
529 Main St
Suite 216
Charlestown, MA 02129-1125
Zip
02129-1125
Phone Number
617-895-6488
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
176 Charger St
Revere, MA 02151-2003
City
Revere
State
MA
Zip
02151-2003
Phone Number
617-938-7847

License Information

License Number
RN2272283
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Phuong Phan, FNP-BC?

The NPI number of Phuong Phan, FNP-BC is 1033466040. It was assigned on August 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Phuong Phan, FNP-BC?

Phuong Phan, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2272283.

Where does Phuong Phan, FNP-BC practice?

The practice location is 529 Main St, Suite 216, Charlestown, MA 02129-1125. The office can be reached at 617-895-6488 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033466040 directly on the NPPES registry website.

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