NPI 1083429369
Mydung Phan
Practice location
- Address
- 6637 N 58th Dr APT 3, Glendale, AZ 85301-3900
- Phone
- (480) 918-4775
Authorised official
- Name
- Mydung Thi Phan
- Title
- Registered Nutrionist
- Phone
- (480) 918-4775
Registered specialties (6)
Peer Specialist
Primary
Nutritionist
Obesity and Weight Management Nutrition Registered Dietitian
Registered Dietetic Technician
Health & Wellness Coach
Registry record
- NPI
- 1083429369
- Entity type
- Organization
- NPI issued
- 12 Feb 2025
- Record last updated
- 16 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.