Individual provider · Type 1 NPI
Tai Thien Phung, PMHNP
Nurse Practitioner · Rosemead, CA
Practice location
9353 Valley Blvd
Rosemead, CA 91770-1923
Other practice locations
- 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 · (626) 403-2794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 780978 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Nurse Practitioner Primary | 363L00000X | NP95019571 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1760098032
Tai Thien Phung, PMHNP's National Provider Identifier is 1760098032, issued on Sep 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rosemead, CA. The record was last updated on Mar 16, 2022.