Van Pham, DNP, APRN, FNP-C
Nurse Practitioner in Plymouth, MN. Individual provider (NPI-1).
NPI number1265041594
StatusActive
Last updated in NPPESFeb 16, 2021
Details
- NPI
- 1265041594
- Entity type
- Individual (NPI-1)
- Name
- Van Pham
- Credential
- DNP, APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2020
- Certification date
- Dec 4, 2020
- Last updated
- Feb 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7664 | MN | Yes |
| 363LF0000X | Nurse Practitioner, Family | 7664 | MN |
Practice location
4140 County Road 101 NPlymouth, MN 55446-2308
Phone 763-478-4612
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Other practice locations
200 1st St Sw
Rochester, MN 55905-0001
Rochester, MN 55905-0001
Phone 507-284-2511
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