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

Timothy Phan, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417949314

Timothy Phan, CRNA is a Certified Registered Nurse Anesthetist in Pahrump, Nevada. Licensed in Nevada. Registered with an NPI since 2005.

Licensed in
NV
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

330 S Lola Ln Ste 200
Pahrump, NV 89048-0878
Phone: (775) 751-7500
Fax: (775) 751-7824
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA000265 (NV)

Record details

NPI number1417949314
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 17, 2005
Last updated in NPPESDecember 20, 2016
Mailing address7385 S Pecos Rd, Ste 103, Las Vegas, NV 89120-3768

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