Individual provider · Type 1 NPI

Tuan Quoc Phan, LVN

Licensed Vocational Nurse · Santa Rosa, CA

NPI number 1114889763 Active

Practice location

790 Sonoma Ave
Santa Rosa, CA 95404-4713

Mailing address

2403 Professional Dr
Santa Rosa, CA 95403-3007

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X739726 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1114889763

Tuan Quoc Phan, LVN's National Provider Identifier is 1114889763, issued on Dec 2, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Dec 2, 2025.