Individual provider · Type 1 NPI
Truc Thuy Pham
Nurse Practitioner · San Diego, CA
Practice location
555 Washington St
San Diego, CA 92103-2289
Mailing address
PO Box 542
Bonita, CA 91908-0542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95039682 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124951488
Truc Thuy Pham's National Provider Identifier is 1124951488, issued on Jun 5, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 5, 2026.