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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024176132 | VA | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
6355 WALKER LANE 505 |
City | ALEXANDRIA |
State | VA |
Zip Code | 22310-3251 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 22310 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22310 |
Please comment or provide details below to improve the information on MIMI HOANG PHAN.
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.