Ivy Kim Long Phan, APRN is an adult health nurse practitioner in Orlando, FL. Ivy Kim Long Phan, APRN NPI is 1134902745. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1012 LUCERNE TER
ORLANDO, FL
ZIP 32806-015
Phone: (407) 423-1039
Fax: (407) 425-2347
The NPI 1134902745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/16/2023 and was last updated on 11/21/2023.