Individual provider · Type 1 NPI
Esamou Phongsa-Chu, FNP
Family Nurse Practitioner · Santa Rosa, CA
NPI number
1689756850
Active
Practice location
751 Lombardi Ct, Suite A
Santa Rosa, CA 95407-6793
Fax (707) 524-2473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 13350 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689756850
Esamou Phongsa-Chu, FNP's National Provider Identifier is 1689756850, issued on Oct 19, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.