Mydung Phan
Mydung Phan is a Nutritionist in Glendale, Arizona. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 6
Practice location Address checks out
6637 N 58th Dr Apt 3Glendale, AZ 85301-3900
Phone: (480) 918-4775
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Nutritionist | Taxonomy 133N00000X |
| Obesity and Weight Management Nutrition Registered Dietitian | Taxonomy 133VN1201X |
| Registered Dietetic Technician | Taxonomy 136A00000X |
| Health & Wellness Coach | Taxonomy 171400000X |
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1083429369 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Radadvantage a Professional Corporation |
| Authorized official | Mydung Phan — Registered Nutrionist · (480) 918-4775 |
| Other names | Mydung Phan; Mydung Thi Phan |
| NPI enumerated | February 12, 2025 |
| Last updated in NPPES | February 16, 2025 |
| Certification date | February 16, 2025 |
| Mailing address | 6637 N 58th Dr Apt 3, Glendale, AZ 85301-3900 |
Other providers in Glendale
-
Glendale Redbird Co
6637 N 58th Dr Apt 7, Glendale, AZ 85301-3900 · (623) 624-5179
-
Bertilia Joseph
6842 W Aurora Dr, Glendale, AZ 85308-8950 · (954) 675-8360
-
Mydung T Phan, NUTRITIONIST
6637 N 58th Dr Apt 3, Glendale, AZ 85301-3900 · (623) 624-5179
-
Mrs. Dana Leslie Thompson, MSRDCNSCCDE
5722 W Ludden Mt Dr, Glendale, AZ 85310-2748 · (623) 879-0511