Individual provider · Type 1 NPI
Ricky Nguyen Phan, ACNP
Acute Care Nurse Practitioner · Garden Grove, CA
NPI number
1740700350
Active
Practice location
13591 Bowen St
Garden Grove, CA 92843-3223
Fax (714) 261-7813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95006779 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1740700350
Ricky Nguyen Phan, ACNP's National Provider Identifier is 1740700350, issued on Jun 24, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Garden Grove, CA. The record was last updated on Nov 29, 2017.