Quyen Phan

NPI 1952704579 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1952704579
Gender Female
Enumeration Date 09/28/2014
Last Updated 09/28/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
6632 S STATE ROUTE 48
MAINEVILLE OH, 45039-9758, US
Phone (513) 697-4880
Fax (513) 697-4886
Business Location
1622 LINDEN DR
CINCINNATI OH, 45224-2925, US
Phone (513) 633-6353
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Ohio
License Number COA.16618-NP
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According to our database, Quyen Phan NPI is 1952704579, taxonomy code is 363LF0000X and license number is COA.16618-NP, license state is located at Ohio. Quyen Phan physically located at 6632 S State Route 48, Maineville OH, 45039-9758. NPI Number Quyen Phan has the Individual type.

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1952704579 NPI number is provided on an as is basis without warranty of any kind. 1952704579 is maintained by the National Plan & Provider Enumeration System. The contents of Quyen Phan are for informational purposes only.