Kelly Phan
Nurse Practitioner, Family in Milpitas, CA. Individual provider (NPI-1).
NPI number1316601396
StatusActive
Last updated in NPPESNov 29, 2021
Details
- NPI
- 1316601396
- Entity type
- Individual (NPI-1)
- Name
- Kelly Phan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Nov 15, 2021
- Last updated
- Nov 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95018604 | CA | Yes |
Practice location
1313 N Milpitas Blvd Ste 265Milpitas, CA 95035-3190
Phone 408-770-9480
Mailing address
401 Puerto PlHayward, CA 94541-7301
Phone 510-499-1832
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All 11 Family Nurse Practitioner providers in Milpitas · All 1,204 providers in Milpitas
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