Individual provider · Type 1 NPI

Heidi Hongphuc Phan

Rehabilitation Registered Nurse · Minneapolis, MN

NPI number 1003790379 Active

Practice location

1 Veterans Dr
Minneapolis, MN 55417-2309

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X265530-30 (WI)
Rehabilitation Registered Nurse Primary 163WR0400X265530-30 (WI)

Rehabilitation Registered Nurse: Definition to come...

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About NPI 1003790379

Heidi Hongphuc Phan's National Provider Identifier is 1003790379, issued on Aug 1, 2025. The primary taxonomy on file is Rehabilitation Registered Nurse (163WR0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 1, 2025.