Individual provider · Type 1 NPI
Haylie Pham, NP
Family Nurse Practitioner · Pevely, MO
NPI number
1245180751
Active
Practice location
1940 Magnolia Way
Pevely, MO 63070-1339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95243342 (CA) |
| Registered Nurse | 163W00000X | 2019025077 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 95243342 (CA) |
Family Nurse Practitioner: Definition to come...
About NPI 1245180751
Haylie Pham, NP's National Provider Identifier is 1245180751, issued on Feb 3, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pevely, MO. The record was last updated on Feb 3, 2026.