PA-C Van Tuy Phan, NPI 1912040049
Surgical Physician Assistant in Lakewood, WA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1912040049
NPI Entity Type Individual
Provider Name PA-C Van Tuy Phan
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 11311 Bridgeport Way Sw Ste 100, Lakewood, WA, US
Provider Mailing Address 11311 Bridgeport Way Sw Ste 100, Lakewood, WA, US, 984993096
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363AS0400X

Taxonomy Name Surgical Physician Assistant
Classification

Physician Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. PA10004199
License State WA
Description Definition to come...

Business Address

PA-C Van Tuy Phan
11311 Bridgeport Way Sw Ste 100

Lakewood, WA, US

Phone: 253-985-6490
Fax: 253-985-6488

Mailing Address

PA-C Van Tuy Phan
11311 Bridgeport Way Sw Ste 100
Lakewood, WA, US
ZIP 984993096
Phone: 253-985-6490
Fax: 253-985-6488

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363A00000X

Physician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA10004199 WA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1042154 WA MEDICAID 05
P00918654 WA MEDICARE RR 01
G8891647 WA MEDICARE PTAN 01
0262968 WA LNI 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT No 11311 Bridgeport Way SW Ste 100, Lakewood, WA, US

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