Individual provider · Type 1 NPI

Christine Kieu Phan, MSN, PMHNP-BC

Nurse Practitioner · La Palma, CA

NPI number 1487400917 Active

Practice location

20 Centerpointe Dr
La Palma, CA 90623-2505

Mailing address

20 Centerpointe Dr Ste 130
La Palma, CA 90623-2562

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95029861 (CA)

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…

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About NPI 1487400917

Christine Kieu Phan, MSN, PMHNP-BC's National Provider Identifier is 1487400917, issued on Apr 25, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in La Palma, CA. The record was last updated on Nov 18, 2024.