PA-C Van Tuy Phan, NPI 1912040049
Surgical Physician Assistant in Lakewood, WA, US
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 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Surgical Physician Assistant |
| Classification | |
| Group | |
| License No. | PA10004199 |
| License State | WA |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 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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|---|---|---|---|
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Cynthia Huynh-wu Individual |
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DR. LMHC, LPC, SUDP Steven Kyle Cardwell Individual |
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Megan Lee Individual |
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MD Keith M. D'souza Individual |
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Ryan Schwanke Individual |
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AAC Carmen Milagros Esquilin-cordero Individual |
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Nathan Sim Individual |
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MSW, AAC, CLIN2 Megan Fiona Cushing Individual |
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MASSAGE THERAPIST Maya Ray-schoenfeld Individual |
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DNP, ARNP, FNP-C Janelle Schwittay Individual |
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Mikaela Costales Individual |
27023 164th Ave Se |
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DR. OD Andy C Lai Individual |
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LMHC, MHP, NCC Jonathan Clarke Goodman Individual |
1002 39th Ave Sw Ste 208 |
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BA Mimi Mi Kim Individual |
2802 Broadway |
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Michaela Mae Bassuer Individual |
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