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

Phuong Pham

Individual provider Registered Nurse · NPI 1760094098

Phuong Pham is a Nurse Practitioner in Chandler, Arizona. Qualified in 2023, 3 years ago. Practices with Greater Phoenix Collaborative Care PC, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2905 W Warner Rd Ste 12
Chandler, AZ 85224-1674
Phone: (480) 831-8457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5602 E Main St, Mesa, AZ 85205-8813 — (480) 854-9004

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 296404 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN193077 (AZ)

Record details

NPI number1760094098
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

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)
Group practice Greater Phoenix Collaborative Care Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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