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Tiffany Phan, FNP
Pediatric Registered Nurse in Fountain Valley, California
NPI 1205520855

Tiffany Phan is a Pediatric Registered Nurse based in Irvine, CA and is specialized in Pediatrics. Tiffany Phan practices in Fountain Valley, CA and has the professional credentials of FNP. The NPI Number for Tiffany Phan is 1205520855 and holds a License No. 95163375 (California).

The current practice location address for Tiffany Phan is 11100 Warner Ave Ste 368, Fountain Valley, CA and can be reached out via phone at 714-410-1025.

Location: 11100 Warner Ave Ste 368, Fountain Valley, CA, 92618-1423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205520855
Provider Name
Tiffany Phan
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
11100 Warner Ave Ste 368, Fountain Valley, CA, 92618-1423
Phone Number
714-410-1025
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11100 Warner Ave Ste 368
City
Fountain Valley
State
California
Zip
92708-7514
Phone Number
714-410-1025
Fax Number
person
Provider Business Mailing Address Details
Address
11100 Warner Ave Ste 368
City
Fountain Valley
State
California
Zip
92708-7514
Phone Number
714-410-1025
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
95163375 (California)
Definition
Definition to come...
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