Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christine Kieu Phan, MSN, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1487400917

Christine Kieu Phan, MSN, PMHNP-BC is a Nurse Practitioner in LA Palma, California. Qualified in 2023, 3 years ago. Offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

20 Centerpointe Dr
LA Palma, CA 90623-2505
Phone: (657) 325-8313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95029861 (CA)

Record details

NPI number1487400917
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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