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An Phan

NPI 1215222054 · on the registry since 2011 · sole proprietor

Practice

Address
8448 Center Run Rd
T-0635
Indianapolis, IN 46250
Phone
(317) 595-0432

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana