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MYDUNG T PHAN NUTRITIONIST
NPI 1245065945
Driver in Glendale, AZ

Active since September 04, 2024
6637 N 58TH DR APT 3, GLENDALE, AZ 85301(623) 624-5179 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2025, Nov 12, 2024, Sep 4, 2024 (3 updates tracked since 2024).

About Mydung T Phan Nutritionist NPPES

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

MYDUNG T PHAN NUTRITIONIST (NPI 1245065945) is an individual driver provider in Glendale, Arizona and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1245065945
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameMYDUNG T PHANCredential: NUTRITIONIST
Location Address6637 N 58TH DR APT 3Glendale, AZ 85301-3900
Mailing Address6637 N 58th Dr Apt 3Glendale, AZ 85301-3900 · (623) 624-5179
Phone(623) 624-5179
Sole ProprietorNo
Enumeration DateSeptember 4, 2024
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1245065945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Also ListedNutritionistTaxonomy 133N00000X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
6637 N 58TH DR APT 3, Glendale, AZ 85301
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Other Providers at the Same Location NPPES 2

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

MYDUNG PHAN
Peer Specialist
6637 N 58TH DR APT 3
GLENDALE, AZ 85301
Maricopa County (480) 918-4775
GLENDALE REDBIRD CO
Driver
6637 N 58TH DR APT 3
GLENDALE, AZ 85301
Maricopa County (480) 918-4775

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 Mydung Phan's NPI number?

The NPI number for Mydung Phan is 1245065945. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Mydung Phan located?

Mydung Phan practices at 6637 N 58th Dr Apt 3, Glendale, AZ 85301. The listed phone number is (623) 624-5179.

What is Mydung Phan's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Mydung Phan was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.