Individual provider · Type 1 NPI

Donna Thanh Phan, FNP-BC

Nurse Practitioner · St. Louis, MO

NPI number 1295129732 Active

Practice location

9759 Manchester Rd
St. Louis, MO 63119-1346

Call (636) 669-2219 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

5425 Southfield Ctr, St. Louis, MO 63123-5984 · (314) 543-5258

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	2014025348 (MO)
Nurse Practitioner Primary	363L00000X	2015009124 (MO)

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…

4 other providers at this address

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About NPI 1295129732

Donna Thanh Phan, FNP-BC's National Provider Identifier is 1295129732, issued on Mar 23, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 21, 2023.