Individual provider · Type 1 NPI

Thu Phan, MSN, AGNP-C

Gerontology Nurse Practitioner · Downey, CA

NPI number 1245779016 Active

Practice location

9333 Imperial Hwy
Downey, CA 90242-2812

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705X803544 (CA)
Gerontology Nurse Practitioner Primary 363LG0600X95006018 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1245779016

Thu Phan, MSN, AGNP-C's National Provider Identifier is 1245779016, issued on Feb 14, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Downey, CA. The record was last updated on Feb 14, 2017.