Individual provider · Type 1 NPI

Mylinh Phan, NP

Gerontology Nurse Practitioner · Duarte, CA

NPI number 1912655804 Active

Practice location

1500 Duarte Rd
Duarte, CA 91010-3012

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XNP18379 (CA)
Gerontology Nurse Practitioner Primary 363LG0600XNP18379 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1912655804

Mylinh Phan, NP's National Provider Identifier is 1912655804, issued on Mar 10, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duarte, CA. The record was last updated on Apr 26, 2022.