Active NPIIndividual provider

Tuan Phan

Community Health Worker in Malden, Massachusetts

NPI Number1336659689
Practice location
22 Pleasant St, Malden, MA 02148-5119
Fax
—
Last updated
October 1, 2017

Tuan Phan is a Community Health Worker based in Malden, MA. Tuan Phan practices in Malden, MA. The NPI Number for Tuan Phan is 1336659689. The current practice location address for Tuan Phan is 22 Pleasant St, Malden, MA 02148-5119 and can be reached out via phone at 781-851-2648.

Provider Profile Details

NPI Number
1336659689
Provider Name
Tuan Phan
Provider Entity Type
Individual
Gender
Male
Address
22 Pleasant St, Malden, MA 02148-5119
Phone Number
781-851-2648
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2017
Last Update Date
October 1, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Pleasant St
Malden, MA 02148-5119
City
Malden
Zip
02148-5119
Phone Number
781-851-2648
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
11 Estes St
Lynn, MA 01902-3057
City
Lynn
State
MA
Zip
01902-3057
Phone Number
857-222-1710

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Behavior Technician · 106S00000X
Taxonomy (3)
Community Health Worker · 172V00000X · 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 Tuan Phan?

The NPI number of Tuan Phan is 1336659689. It was assigned on October 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Tuan Phan?

Tuan Phan is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Tuan Phan practice?

The practice location is 22 Pleasant St, Malden, MA 02148-5119. The office can be reached at 781-851-2648 (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 1336659689 directly on the NPPES registry website.

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