MIMI HOANG PHAN


Address: 6355 Walker Lane, 505, Alexandria, VA 22310-3251
Phone: 7039714444

MIMI HOANG PHAN (NPI# 1083178099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083178099
Entity Type Individual
Full Name MIMI HOANG PHAN
Credential FNP
Practice Address 6355 Walker Lane
505
Alexandria
VA 22310-3251
Mailing Address 2400 Hurst Street
Address Line 2
Falls Church
VA 22043
Practice Telephone 7039714444
Mailing Telephone 4042859660
Enumeration Date 2019-01-23
Last Update Date 2019-04-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024176132 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MIMI PHAN

NPI Name Taxonomy Address Enumeration
1013557388 Mimi Thanh-uyen Phan Pharmacist 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 2020-01-14
1598187924 Mimi Anhtu Phan Optometrist 8404 Beverly Blvd, Los Angeles, CA 90048 2014-01-21
1093035610 Mimi Phan Internal Medicine 3601 N Macgregor Way, Quentin Mease, Houston, TX 77004-8004 2010-06-04

Office Location

Street Address 6355 WALKER LANE
505
City ALEXANDRIA
State VA
Zip Code 22310-3251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457316101 Samantha W Ahdoot Pediatrics 6355 Walker Lane, Suite 401, Alexandria, VA 22310 2006-04-18
1265981716 Alexandra Bingnear Nurse Practitioner 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 2016-09-26
1609253236 National Rehabilitation Hospital, Inc. Occupational Therapist 6355 Walker Lane, Suite 512, Alexandria, VA 22310 2015-05-04
1720497068 Rebecca Rebholz Physical Therapist 6355 Walker Lane, Suite 512, Alexandria, VA 22310 2014-08-12
1730592932 Jesse Kimball Physician Assistant 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 2014-06-04
1275974297 Virginia Center for Plastic Surgery Specialist 6355 Walker Lane, Suite 510, Alexandria, VA 22310 2013-07-08
1750630075 Samantha Hope Fierro Clinic/Center 6355 Walker Lane, Suite 404, Alexandria, VA 22310 2012-08-31
1992016182 Heather Clark Drayton Occupational Therapist 6355 Walker Lane, Alexandria, VA 22304-3245 2010-06-23
1750524898 Eva Umoh Asomugha Orthopaedic Surgery 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 2009-04-17
1366603797 Joshua Ryan Detrick Physician Assistant 6355 Walker Lane, Ste 202, Alexandria, VA 22310-3257 2008-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295389732 Katarzyna Piwek Behavior Technician 6281 Franconia Road, Suite B, Alexandria, VA 22310 2019-08-01
1073011672 Roberto Arturo Hernandez Zapata Dentist Avenida Paseo De Los Heroes 9333-4, Tijuana, BAJA CALIFORNIA 22310 2018-01-29
1336542042 Franconia Pediatrics Associates Clinic/Center 6078 Franconia Road Ste A/b, Alexandria, VA 22310 2014-10-08
1548663347 Eric Mestas Dds PC Clinic/Center 5115 Franconia Rd Ste -d, Alexandria, VA 22310 2014-10-07
1982036331 Meike Nadine Marshall Physical Therapist 6355 Walker Ln Ste 404, Alexandria, VA 22310 2013-08-07
1649448093 Manchester Lakes Medical Internal Medicine 7015 E Manchester Blvd, Alexandria, VA 22310 2008-02-19
1629250311 Kingstowne Dental Care PC Dentist 7015 A Macnhester Blvd, Alexandria, VA 22310 2007-12-04
1881890648 Neal Kevin Maru Psychiatry & Neurology 6355 Walker Lane, 313, Alexandria, VA 22310 2007-06-26
1518188259 Hospital Mexico General Acute Care Hospital Avenida De La Amistad 9077, Colonia Federal, Tijuana, BAJA CALIFORNIA 22310 2007-05-01
1114078185 Melissa Jean Arnold Counselor 6015 Bushhill Dr, Alexandria, VA 22310 2007-01-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275131435 Nora H Elnahas Nurse Practitioner 5882 Wescott Hills Way, Alexandria, VA 22315-5636 2020-10-11
1376158600 Margrek S. Dorsey Nurse Practitioner 1403 Metro Dr Bldg Suiteg-2, Alexandria, LA 71301-3454 2020-09-14
1639784432 Nichole Varga Nurse Practitioner 8174 Bianca Pl, Alexandria, VA 22309-3761 2020-09-09
1831707488 Khudsiatu Tucker Nurse Practitioner 1636 Belle View Boulevard, Alexandria, VA 22307 2020-07-20
1134747850 Lindsey H. Welch Nurse Practitioner 3601 Jackson St, Alexandria, LA 71303-3002 2020-07-09
1376160762 Brittany Ann Filliben Nurse Practitioner 6944 Ellingham Cir Unit D, Alexandria, VA 22315-6509 2020-07-01
1447876289 Headache Clinic of Cenla Nurse Practitioner 4508 Coliseum Blvd Ste L, Alexandria, LA 71303-3564 2020-06-17
1912522061 Andrea Mclure Waters Nurse Practitioner 3018 Jackson St Ste 100, Alexandria, LA 71301-4767 2020-06-15
1568082725 Catherine Corcoran Nurse Practitioner 115 S Columbus St, Alexandria, VA 22314-5008 2020-04-17
1427677574 April Bomi Kim Nurse Practitioner 50 S Pickett St Ste 114, Alexandria, VA 22304-7206 2020-04-09
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Competitor

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City ALEXANDRIA
Zip Code 22310

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Dataset Information

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.

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