VAN PHAM (NPI# 1265041594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265041594 |
| Entity Type | Individual |
| Full Name | VAN PHAM |
| Credential | DNP, APRN, FNP-C |
| Practice Address |
4140 County Road 101 N Plymouth MN 55446-2308 |
| Practice Telephone | 7634784612 |
| Mailing Telephone | 7634784612 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7664 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467889923 | Van Thi Kim Pham | Nurse Practitioner | 3082 E Bayard Street Ext, Seneca Falls, NY 13148-9701 | 2013-09-30 |
| 1801136171 | Van Hong Pham | Pharmacist | 17142 Brooklyn Ave, Yorba Linda, CA 92886-1717 | 2013-02-25 |
| 1528197142 | Van B Pham | Dentist | 7210 Camino Arroyo, Suite 106, Gilroy, CA 95020-7311 | 2007-03-02 |
| 1275570913 | Van D Pham | Optometrist | 525 Howard St, Fl 1, Evanston, IL 60202-4005 | 2006-06-01 |
| 1255960720 | Van K Pham | Pharmacist | 4700 W Ann Rd, N Las Vegas, NV 89031-3463 | 2020-04-06 |
| 1598322125 | Van Pham | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-05-20 |
| 1700349289 | Van N Pham | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2019-04-10 |
| 1770085128 | Van Pham | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-03-01 |
| 1831629559 | Van Pham | Pharmacist | 4538 Us Highway 231, Wetumpka, AL 36092-3333 | 2017-06-14 |
| 1720538515 | Van Pham | Pharmacist | 333 9th St, Oakland, CA 94607-4211 | 2016-10-05 |
| Street Address |
4140 COUNTY ROAD 101 N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998545 | Jodi Corinne Delagrave | Nurse Practitioner | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2005-08-03 |
| 1508488529 | Nicole Clay | Pharmacist | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2020-05-13 |
| 1942822119 | Allyson Mei | Pharmacist | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2020-05-11 |
| 1720625445 | Abby Catherine Beinlich | Nurse Practitioner | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2019-12-01 |
| 1225687551 | Kristen Emily Petersen | Nurse Practitioner | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2019-09-09 |
| 1568968907 | Briona Klinsky | Nurse Practitioner | 4140 County Road 101 N, Plymouth, MN 55446 | 2018-04-04 |
| 1952787905 | Egla Maiyo | Nurse Practitioner | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2015-07-31 |
| 1588077317 | Jennifer Lynn Kaidi | Nurse Practitioner | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2014-06-10 |
| 1790962041 | Melissa May Bassett | Licensed Vocational Nurse | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477180826 | Stephanie Jordan | Nurse Practitioner | 22 Cranberry Rd, Plymouth, MA 02360-2857 | 2020-03-25 |
| 1710543863 | Kristen Marie Kubik | Nurse Practitioner | 13970 Oakland Ct, Plymouth, MI 48170-5292 | 2019-05-14 |
| 1679931505 | Hillary Costa | Nurse Practitioner | 45 Resnik Rd Ste 302, Plymouth, MA 02360-4883 | 2016-02-06 |
| 1811374747 | Jill Marie Geer | Nurse Practitioner | 510 W Adams St, Suite 150, Plymouth, IN 46563-1765 | 2015-04-29 |
| 1740677921 | Inner Banks Family Medicine | Nurse Practitioner | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2015-04-24 |
| 1952706210 | Elizabeth Nelson-frazier | Nurse Practitioner | 50 Aldren Road, Plymouth, MA 02061-2711 | 2014-10-29 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1730595943 | Nicole Lee | Nurse Practitioner | 10 Bay Cliff Cir, Plymouth, MA 02360-1458 | 2014-07-08 |
| 1700122579 | Renae Charlene Atkins | Nurse Practitioner | 2855 Miller Dr Ste 119, Plymouth, IN 46563-8091 | 2012-12-21 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.