Search › Rhode Island › 172V00000X
Fanta Phannavong
NPI 1518839703 · on the registry since 2025
Practice
- Address
- 270 Elmwood Ave
Providence, RI 02907 - Phone
- (401) 274-8811
- Organisation at this address
- Center For Southeast Asians
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-24
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 Rhode Island