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NPI Code Detail

MEDICARE: MRS. HAO THI PHAM DNP, FNP-BC

MEDICARE: MRS. HAO THI PHAM DNP, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner38986TN
2363LF0000XFamily Nurse PractitionerC-APN.0104974-C-NPCO
3363LF0000XFamily Nurse PractitionerAP127030TX
4363LF0000XFamily Nurse PractitionerAPRN.CNP.0040932OH
5363LF0000XFamily Nurse PractitionerAPRN11042739FL
6363LF0000XFamily Nurse Practitioner3-002378AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720311160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HAO THI PHAM DNP, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 20405 STATE HIGHWAY 249 STE 325
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2893
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2009
Last Update Date : 12/09/2025

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