person
Ivy Kim Long Phan, APRN
Adult Health Nurse Practitioner in Orlando, Florida
NPI 1134902745

Ivy Kim Long Phan is an Adult Health Nurse Practitioner based in Orlando, FL and is specialized in Adult Health. Ivy Kim Long Phan practices in Orlando, FL and has the professional credentials of APRN. The NPI Number for Ivy Kim Long Phan is 1134902745 and holds a License No. APRN11028195 (Florida).

The current practice location address for Ivy Kim Long Phan is 1012 Lucerne Ter, Orlando, FL and can be reached out via phone at 407-423-1039 and via fax at 407-425-2347.

Location: 1012 Lucerne Ter, Orlando, FL, 32806-1015
person
Provider Profile Details
NPI Number
1134902745
Provider Name
Ivy Kim Long Phan
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1012 Lucerne Ter, Orlando, FL, 32806-1015
Phone Number
407-423-1039
Fax Number
407-425-2347
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1012 Lucerne Ter
City
State
Zip
32806-1015
Phone Number
407-423-1039
Fax Number
407-425-2347
person
Provider Business Mailing Address Details
Address
1012 Lucerne Ter
City
State
Zip
32806-1015
Phone Number
407-423-1039
Fax Number
407-425-2347
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
APRN11028195 (Florida)
Definition
Definition to come...
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