Individual provider · Type 1 NPI

Tiffany Phan, FNP

Family Nurse Practitioner · Fountain Valley, CA

NPI number 1205520855 Active

Practice location

11100 Warner Ave Ste 368
Fountain Valley, CA 92708-7514

Mailing address

148 Sawbuck
Irvine, CA 92618-1423

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X95163375 (CA)
Family Nurse Practitioner Primary 363LF0000X95026174 (CA)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1205520855

Tiffany Phan, FNP's National Provider Identifier is 1205520855, issued on Jun 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fountain Valley, CA. The record was last updated on Jun 29, 2024.