MIMI HOANG PHAN FNP
NPI 1083178099
Nurse Practitioner - Family in Falls Church, VA

Active since January 23, 2019
400 S MAPLE AVE STE 200, FALLS CHURCH, VA 22046(703) 532-5436(703) 532-3232 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Jun 10, 2021, Apr 10, 2019 and 1 more (4 updates tracked since 2019).

About Mimi Hoang Phan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIMI HOANG PHAN FNP (NPI 1083178099) is an individual family provider in Falls Church, Virginia, licensed in Virginia (0024176132) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1083178099
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIMI HOANG PHANCredential: FNP
Location Address400 S MAPLE AVE STE 200Falls Church, VA 22046-4243
Mailing Address250 Oak StreetRoswell, GA 30075 · (770) 817-6070 · Fax (770) 643-1858
Fax(703) 532-3232
Sole ProprietorYes
Enumeration DateJanuary 23, 2019
Last NPPES UpdateJune 12, 20254 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1083178099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024176132
400 S MAPLE AVE STE 200, Falls Church, VA 22046

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
400 S MAPLE AVE STE 200
FALLS CHURCH, VA 22046
Nurse Practitioner (Family)
400 S MAPLE AVE STE 200
FALLS CHURCH, VA 22046
Family Medicine
400 S MAPLE AVE STE 200
FALLS CHURCH, VA 22046
Nurse Practitioner
400 S MAPLE AVE STE 200
FALLS CHURCH, VA 22046
Nurse Practitioner (Family)
400 S MAPLE AVE STE 200
FALLS CHURCH, VA 22046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi Phan's NPI number?

The NPI number for Mimi Phan is 1083178099. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Where is Mimi Phan located?

Mimi Phan practices at 400 S Maple Ave Ste 200, Falls Church, VA 22046. The listed phone number is (703) 532-5436.

What is Mimi Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mimi Phan was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.