Miadette Pheng-Phal, NP-C
Nurse Practitioner, Primary Care in Lynn, Massachusetts
1073044616- Practice location
- 269 Union St, Lynn, MA 01901-1314
- Phone
- 781-581-3900
- Fax
- —
- Last updated
- March 24, 2017
Miadette Pheng-Phal is a Nurse Practitioner, Primary Care based in Lynn, MA. Miadette Pheng-Phal practices in Lynn, MA and has the professional credentials of NP-C. The NPI Number for Miadette Pheng-Phal is 1073044616 and holds a License No. RN2270203 (MA). The current practice location address for Miadette Pheng-Phal is 269 Union St, Lynn, MA 01901-1314 and can be reached out via phone at 781-581-3900.
Provider Profile Details
- NPI Number
- 1073044616
- Provider Name
- Miadette Pheng-Phal
- Credential
- NP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 269 Union St, Lynn, MA 01901-1314
- Phone Number
- 781-581-3900
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2017
- Last Update Date
- March 24, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 269 Union St
Lynn, MA 01901-1314 - City
- Lynn
- State
- Massachusetts
- Zip
- 01901-1314
- Phone Number
- 781-581-3900
Provider Business Mailing Address Details
- Address
- 269 Union St
Lynn, MA 01901-1314 - City
- Lynn
- State
- MA
- Zip
- 01901-1314
License Information
- License Number
- RN2270203
- License State
- MA
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miadette Pheng-Phal, NP-C?
The NPI number of Miadette Pheng-Phal, NP-C is 1073044616. It was assigned on March 24, 2017 and is currently active in the NPPES registry.
What is the specialty of Miadette Pheng-Phal, NP-C?
Miadette Pheng-Phal, NP-C is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number RN2270203.
Where does Miadette Pheng-Phal, NP-C practice?
The practice location is 269 Union St, Lynn, MA 01901-1314. The office can be reached at 781-581-3900 (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 1073044616 directly on the NPPES registry website.