ESAMOU PHONGSA-CHU FNP
NPI 1689756850
Nurse Practitioner - Family in Santa Rosa, CA
Active since October 19, 2006
751 LOMBARDI CT, SUITE A, SANTA ROSA, CA 95407(707) 547-2266(707) 524-2473 Get Directions Write a Review
About Esamou Phongsa-chu Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESAMOU PHONGSA-CHU FNP (NPI 1689756850) is an individual family provider in Santa Rosa, California, licensed in California (13350) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1689756850
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameESAMOU PHONGSA-CHUCredential: FNP
Location Address751 LOMBARDI CT, SUITE ASanta Rosa, CA 95407-6793
Mailing Address751 Lombardi Ct, Suite ASanta Rosa, CA 95407-6793 · (707) 547-2266 · Fax (707) 524-2473
Phone(707) 547-2266
Fax(707) 524-2473
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689756850 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 CA · 13350
751 LOMBARDI CT, Santa Rosa, CA 95407
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Dentist (General Practice)
751 LOMBARDI CT
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
Nurse Practitioner (Family)
751 LOMBARDI CT, SUITE A
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
Counselor (Mental Health)
751 LOMBARDI CT, SUITE C
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
Dentist (General Practice)
751 LOMBARDI CT
SANTA ROSA, CA 95407
SANTA ROSA, CA 95407
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689756850, enumerated as an "individual" on October 19, 2006.
The provider is located at 751 LOMBARDI CT SUITE A SANTA ROSA, CA 95407 and the phone number is (707) 547-2266.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
