Individual provider · Type 1 NPI

Mia Phan, NP-C

Family Nurse Practitioner · Minneapolis, MN

NPI number 1245761931 Active

Practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Call (612) 672-7422 Map

Mailing address

720 Washington Ave SE Ste 300
Minneapolis, MN 55414-2904

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	6983 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1245761931

Mia Phan, NP-C's National Provider Identifier is 1245761931, issued on Mar 23, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 8, 2020.