Individual provider · Type 1 NPI
Dai Phan, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1942092630
Active
Practice location
303 5th Ave Rm 602
New York, NY 10016-6654
Fax (718) 795-2285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 408904 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942092630
Dai Phan, PMHNP-BC's National Provider Identifier is 1942092630, issued on May 20, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Oct 16, 2026.