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TIMOTHY PHAN CRNA
NPI 1417949314
Nurse Anesthetist, Certified Registered in Pahrump, NV

Active since August 17, 2005
330 S LOLA LN, SUITE 200, PAHRUMP, NV 89048(775) 751-7500(775) 751-7824 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2016, Jul 15, 2016 (2 updates tracked since 2016).

About Timothy Phan Crna NPPES

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

TIMOTHY PHAN CRNA (NPI 1417949314) is an individual nurse anesthetist, certified registered in Pahrump, Nevada, licensed in Nevada (CRNA000265) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1417949314
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY PHANCredential: CRNA
Location Address330 S LOLA LN, SUITE 200Pahrump, NV 89048-0878
Mailing Address7385 S Pecos Rd, Ste 103Las Vegas, NV 89120-3768 · (888) 221-2297
Phone(775) 751-7500
Fax(775) 751-7824
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateDecember 20, 20162 updates tracked since enumeration
✔ NPI 1417949314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NV · CRNA000265
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
330 S LOLA LN, Pahrump, NV 89048
Open in Google Maps ↗

Other Identifiers 1

Medicaid100505726NV

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.

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
330 S LOLA LN
PAHRUMP, NV 89048
Nye County (775) 751-2390
CANYON GATE MEDICAL GROUP
Family Medicine
330 S LOLA LN, SUITE# 200
PAHRUMP, NV 89048
Nye County (954) 656-8855
ORTHOPAEDIC SOLUTIONS LLC
Orthopaedic Surgery
330 S LOLA LN
PAHRUMP, NV 89048
Nye County (702) 475-4390
CYNTHIA RAE HOUTROUW APRN
Nurse Practitioner (Family)
330 S LOLA LN
PAHRUMP, NV 89048
Nye County (702) 277-1135
VZ HEALTH AND WELLNESS
Family Medicine
330 S LOLA LN
PAHRUMP, NV 89048
Nye County (702) 277-1357

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 Timothy Phan's NPI number?

The NPI number for Timothy Phan is 1417949314. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Timothy Phan located?

Timothy Phan practices at 330 S Lola Ln Suite 200, Pahrump, NV 89048. The listed phone number is (775) 751-7500.

What is Timothy Phan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Timothy Phan was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.