Organization · Type 2 NPI
Mydung Phan
Peer Specialist · Glendale, AZ
NPI number
1083429369
Active
Practice location
6637 N 58th Dr Apt 3
Glendale, AZ 85301-3900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | None listed |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | None listed |
| Registered Dietetic Technician | 136A00000X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Driver | 172A00000X | None listed |
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2 other providers at this address
Other peer specialist providers in Glendale
About NPI 1083429369
Mydung Phan's National Provider Identifier is 1083429369, issued on Feb 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Glendale, AZ. The record was last updated on Feb 16, 2025.