Individual provider · Type 1 NPI
Phong Kieu, NP
Psychiatric/Mental Health Nurse Practitioner · Santa Ana, CA
NPI number
1295495737
Active
Practice location
202 W Harvey Ave
Santa Ana, CA 92707-4420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95019542 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295495737
Phong Kieu, NP's National Provider Identifier is 1295495737, issued on Dec 25, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Ana, CA. The record was last updated on Dec 25, 2021.