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

Phung Kim Pham

Individual provider Family Nurse Practitioner · NPI 1093352007

Phung Kim Pham is a Nurse Practitioner in Falls Church, Virginia. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2019

Practice location Address checks out

107 Park Pl
Falls Church, VA 22046-4513
Phone: (703) 241-8811
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024194572 (VA)

Record details

NPI number1093352007
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 9, 2019
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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