Individual provider · Type 1 NPI

Thao Pham

Registered Nurse · Queens Village, NY

NPI number 1104193226 Active

Practice location

22121 Jamaica Ave
Queens Village, NY 11428-2015

Fax (718) 468-6925

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	643221 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104193226

Thao Pham's National Provider Identifier is 1104193226, issued on Nov 17, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Queens Village, NY. The record was last updated on Nov 17, 2011.