Individual provider · Type 1 NPI

Brian Ing Pham

Student in an Organized Health Care Education/Training Program · Hollywood, FL

NPI number 1972495182 Active

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Mailing address

445 N Bridgestone Ave
St. Johns, FL 32259-7928

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9601431 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972495182

Brian Ing Pham's National Provider Identifier is 1972495182, issued on Jul 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hollywood, FL. The record was last updated on Jul 21, 2025.