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NPI Code Detail

MEDICARE: KIMBERLY PHAM FNP

MEDICARE: KIMBERLY PHAM FNP
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 PractitionerAP08923LA

General Provider Information

NPI Number : 1891147427
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY PHAM FNP
Provider Business Mailing Address
First Line : 4401 S CLAIBORNE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-5105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4401 S CLAIBORNE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-5105
Country : US
Telephone Number : 504-891-7737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2016
Last Update Date : 03/19/2024

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Directions to “ KIMBERLY PHAM FNP” Practice Location

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