Mimi Hoang Phan, FNP
Nurse Practitioner, Family in Falls Church, VA. Individual provider (NPI-1).
NPI number1083178099
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1083178099
- Entity type
- Individual (NPI-1)
- Name
- Mimi Hoang Phan
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2019
- Certification date
- May 27, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024176132 | VA | Yes |
Practice location
400 S Maple Ave Ste 200Falls Church, VA 22046-4243
Phone 703-532-5436 · Fax 703-532-3232
Mailing address
250 Oak StreetRoswell, GA 30075
Phone 770-817-6070 · Fax 770-643-1858
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