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

Sandy Phan

Individual provider Acute Care Nurse Practitioner · NPI 1497696504

Sandy Phan is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2026
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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (267) 230-6443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 — (267) 230-6443

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP034751 (PA)

Record details

NPI number1497696504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 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
Practice locations2 on file with Medicare

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