Provider Demographics
NPI:1265976740
Name:PHAM, CHRISTINA CHAU (ARNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:CHAU
Last Name:PHAM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:G1-MSO
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101
Mailing Address - Country:US
Mailing Address - Phone:206-341-0097
Mailing Address - Fax:206-625-7237
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:G1-MSO
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-341-0097
Practice Address - Fax:206-625-7237
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP60698846363LA2200X
WARN60560277163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse