Victoria Huynh Phan
Advanced Practice Midwife in Gilroy, CA. Individual provider (NPI-1).
NPI number1265076996
StatusActive
Last updated in NPPESNov 6, 2019
Details
- NPI
- 1265076996
- Entity type
- Individual (NPI-1)
- Name
- Victoria Huynh Phan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2019
- Last updated
- Nov 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 236079 | CA | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 95013129 | CA |
Practice location
760 Renz LnGilroy, CA 95020-9584
Phone 408-847-1739
Mailing address
1691 The AlamedaSan Jose, CA 95126-2203
Phone 408-287-7526
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