Individual provider · Type 1 NPI
Tam Phu
Pediatric Nurse Practitioner · St. Petersburg, FL
NPI number
1669895405
Active
Practice location
601 5th St S
St. Petersburg, FL 33701-4804
Fax (727) 767-8030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 9295757 (FL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | ARNP9295757 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1669895405
Tam Phu's National Provider Identifier is 1669895405, issued on Jan 30, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Feb 14, 2016.