MIMI HOANG PHAN FNP NPI 1083178099

NPI Information

  • NPI: 1083178099
  • Provider Name: MIMI HOANG PHAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 400 S MAPLE AVE STE 200
    FALLS CHURCH, VA
    ZIP 22046
  • Phone: (703) 532-5436

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NPI Details

Mimi Hoang Phan, FNP is a family nurse practitioner in Falls Church, VA. Mimi Hoang Phan, FNP NPI is 1083178099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 S MAPLE AVE STE 200
FALLS CHURCH, VA
ZIP 22046-243
Phone: (703) 532-5436
Fax: (703) 532-3232

The enumeration date for this NPI number is 1/23/2019 and was last updated on 6/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024176132VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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