THANH PHAN FNP – NPI #1912858887
Nurse Practitioner

THANH PHAN is a nurse practitioner located in MESA, AZ. NPPES has assigned the NPI number 1912858887 to THANH PHAN on February 06, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THANH PHAN below.

NPI Profile for
THANH PHAN

NPI Number
1912858887
Enumeration Date

(about 4 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
THANH PHAN
Credentials
FNP
Primary location
1855 N STAPLEY DR
MESA, AZ 85203-3002
Phone: (480) 834-7546 Fax: (480) 833-8313
Mailing address
1630 N 26TH ST
MESA, AZ 85213-3502
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Feb 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
AZ 221925

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.