Individual provider · Type 1 NPI
Phuong Ngo, CRNP
Adult Health Nurse Practitioner · Media, PA
NPI number
1043636301
Active
Practice location
1068 W Baltimore Pike
Media, PA 19063-5104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | LB-0000290 (DE) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP013260 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1043636301
Phuong Ngo, CRNP's National Provider Identifier is 1043636301, issued on Mar 11, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Media, PA. The record was last updated on Dec 13, 2015.