RICKY NGUYEN PHAN ACNP NPI 1740700350

NPI Information

NPI: 1740700350
Provider Name: RICKY NGUYEN PHAN, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
13591 BOWEN ST
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 261-7813
Get Directions

Ricky Nguyen Phan, ACNP is an acute care nurse practitioner in Garden Grove, CA with 5 years of experience. Ricky Nguyen Phan, ACNP NPI is 1740700350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13591 BOWEN ST
GARDEN GROVE, CA
ZIP 92843-223
Phone: (714) 261-7813
Fax: (714) 261-7813

The NPI 1740700350 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 6/24/2017 and was last updated on 11/29/2017.

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	363LA2100X	Nurse Practitioner	Acute Care	95006779	CALIFORNIA	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: 5/5/2024

NPI Synchronization or Removal

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