Individual provider · Type 1 NPI

Andrew Tyler Pham

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1013855261 Active

Practice location

1707 W Charleston Blvd Ste 100
Las Vegas, NV 89102-2352

Call (702) 676-3650 Map

Fax (702) 676-3635

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013855261

Andrew Tyler Pham's National Provider Identifier is 1013855261, issued on Mar 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 21, 2026.