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Contact Information

LOAN V PHAM, DNP
4505 PACIFIC HWY E STE C2
FIFE, WA98424-2638
 Phone: 714-880-5065
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health/Public Health

364SC1501X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LOAN V PHAM · (Female)

NPI # 1053440065
Status Active
Credentials DNP
Entity Individual
Enumeration date 03/05/2007
Last updated 10/23/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 16368
  • CA License # 1709
  • MT License # NUR-APRN-LIC-173734
  • OR License # 202101970NP-PP
  • WA License # AP61138359
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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