MS. LYSIANNE PHAM DUBE FNP-C NPI 1699263269

NPI Information

NPI: 1699263269
Provider Name: MS. LYSIANNE PHAM DUBE, FNP-C
Classification:
Entity Type: Individual

PECOS Registration: Yes

Address:
2201 HERITAGE PKWY STE 111
MANSFIELD, TX
ZIP 76063
Phone: (817) 472-7700
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MS. Lysianne Pham Dube, FNP-C is a healthcare provider in Mansfield, TX. MS. Lysianne Pham Dube, FNP-C NPI is 1699263269. 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:

2201 HERITAGE PKWY STE 111
MANSFIELD, TX
ZIP 76063-628
Phone: (817) 472-7700

The NPI 1699263269 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 4/28/2018 and was last updated on 1/30/2024.

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	363LP2300X	Nurse Practitioner	Primary Care	95008968	CALIFORNIA	No

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: 4/28/2024

NPI Synchronization or Removal

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