Provider Demographics
NPI:1689562142
Name:PHAM, ROBIN LIEN (FNP-C)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LIEN
Last Name:PHAM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 LANTANA CT
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-7618
Mailing Address - Country:US
Mailing Address - Phone:337-255-8302
Mailing Address - Fax:
Practice Address - Street 1:1501 BETHIA ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-3720
Practice Address - Country:US
Practice Address - Phone:337-828-3507
Practice Address - Fax:337-828-7204
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP241984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily