Individual provider · Type 1 NPI
Sandy Phan
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1497696504
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
731 Longshore Ave
Philadelphia, PA 19111-4324
Other practice locations
- 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 · (267) 230-6443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP034751 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1497696504
Sandy Phan's National Provider Identifier is 1497696504, issued on Apr 2, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 14, 2026.