Individual provider · Type 1 NPI

Marian Gaida Pham, NP

Gerontology Nurse Practitioner · Beavercreek, OH

NPI number 1124615695 Active

Practice location

3535 Pentagon Blvd
Beavercreek, OH 45431-1705

Fax (937) 395-6668

Mailing address

1 Prestige Pl Ste 550
Miamisburg, OH 45342-6115

Other practice locations

  • 1625 N Campbell Ave, Tucson, AZ 85719-4330 · (520) 694-0111

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner 363LC0200X343112 (AZ)
Registered Nurse 163W00000X28191443A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71010705A (IN)

Gerontology Nurse Practitioner: Definition to come...

44 other providers at this address

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About NPI 1124615695

Marian Gaida Pham, NP's National Provider Identifier is 1124615695, issued on Dec 30, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Beavercreek, OH. The record was last updated on Oct 16, 2026.