Tin Nguyen-Phan, DO
Student in an Organized Health Care Education/Training Program in Falls Church, VA. Individual provider (NPI-1).
NPI number1710731237
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1710731237
- Entity type
- Individual (NPI-1)
- Name
- Tin Nguyen-Phan
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2024
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3300 Gallows RdFalls Church, VA 22042-3307
Phone 703-776-6652
Mailing address
3300 Gallows RdFalls Church, VA 22042-3307
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