Individual provider · Type 1 NPI
Jerrick Ky Xang Padilla-Phu, FNP
Family Nurse Practitioner · Glendale, CA
NPI number
1457976938
Active
Practice location
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
Mailing address
8540 Pueblo Dr
Rosemead, CA 91770-4346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 849559 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | NP95012638 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457976938
Jerrick Ky Xang Padilla-Phu, FNP's National Provider Identifier is 1457976938, issued on Jun 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glendale, CA. The record was last updated on Jun 10, 2020.