Phung Kim Pham
Nurse Practitioner, Family in Falls Church, VA. Individual provider (NPI-1).
NPI number1093352007
StatusActive
Last updated in NPPESFeb 4, 2026
Details
- NPI
- 1093352007
- Entity type
- Individual (NPI-1)
- Name
- Phung Kim Pham
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2019
- Certification date
- Feb 4, 2026
- Last updated
- Feb 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024194572 | VA | Yes |
Practice location
107 Park PlFalls Church, VA 22046-4513
Phone 703-241-8811
Mailing address
9410 Luke DrManassas Park, VA 20111-8210
Phone 571-274-7685
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