Individual provider · Type 1 NPI

Mimi Pham Nguyen

Physician Assistant · Springfield, MA

NPI number 1508635012 Active

Practice location

299 Carew St Ste 322
Springfield, MA 01104-2431

Mailing address

299 Carew St
Springfield, MA 01104-2301

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA102162 (MA)
Family Medicine Physician 207Q00000XPA102162 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508635012

Mimi Pham Nguyen's National Provider Identifier is 1508635012, issued on Dec 26, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, MA. The record was last updated on Feb 13, 2026.