Individual provider · Type 1 NPI

Kelly Phan

Family Nurse Practitioner · Milpitas, CA

NPI number 1316601396 Active

Practice location

1313 N Milpitas Blvd Ste 265
Milpitas, CA 95035-3190

Mailing address

401 Puerto Pl
Hayward, CA 94541-7301

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95018604 (CA)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1316601396

Kelly Phan's National Provider Identifier is 1316601396, issued on Oct 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milpitas, CA. The record was last updated on Nov 29, 2021.