Individual provider · Type 1 NPI

Angela Phan, APRN

Nurse Practitioner · Gainesville, FL

NPI number 1043076805 Active

Practice location

4122 NW 128th Ter
Gainesville, FL 32606-4800

Mailing address

817 NW 56th Ter Ste B
Gainesville, FL 32605-6401

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11022205 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043076805

Angela Phan, APRN's National Provider Identifier is 1043076805, issued on Feb 27, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gainesville, FL. The record was last updated on Aug 18, 2025.