DONNA THANH PHAN FNP-BC NPI 1295129732

NPI Information

NPI: 1295129732
Provider Name: DONNA THANH PHAN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MERCY CLINIC EAST COMMUNITIES

PECOS Registration: Yes

Address:
5425 SOUTHFIELD CTR
SAINT LOUIS, MO
ZIP 63123
Phone: (314) 543-5258
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Donna Thanh Phan, FNP-BC is a family nurse practitioner in Saint Louis, MO with 10 years of experience. Donna Thanh Phan, FNP-BC NPI is 1295129732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MARYMOUNT UNIVERSITY
Graduation Year:2014

The provider's business location address is:

5425 SOUTHFIELD CTR
SAINT LOUIS, MO
ZIP 63123-984
Phone: (314) 543-5258
Fax: (314) 543-5262

The NPI 1295129732 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2015 and was last updated on 3/14/2017.

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
1	363LF0000X	Nurse Practitioner	Family	2014025348	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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