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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANNIE PHAN

Active Sole Proprietor

ANNIE PHAN is a Nurse Practitioner healthcare provider located in LILLINGTON, North Carolina. NPI 1003617184 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LILLINGTON, NC

Registration Details

NPI Number
1003617184
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2025 (1.4042459846229 yrs)
Last Updated
Jul 18, 2025
License
5021862 (NC)
Sole Proprietor
Yes

Practice Information

Address
130 PINE STATE ST STE C
LILLINGTON, NC, 275469414
Browse NC providers · Browse ZIP 27546
Phone
9104740050
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in LILLINGTON, NC

Name Credential NPI
SHELEY BUTLER ELDRIDGE RN NPC 1114003449
JULIE PAGE BURNELL 1376813634
MRS. MISTY DAWN WHITE NP 1912408469
CYNTHIA LACHMANN JOHNSTON FNP 1942089727
SHELBY LOUISE TINNEY FNP-C 1033924873
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.