Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PANIDA PHEANG, NP-C
ActivePANIDA PHEANG, NP-C is a Adult Health Nurse Practitioner healthcare provider located in AYER, Massachusetts. NPI 1295447548 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · AYER, MA
Registration Details
- NPI Number
- 1295447548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2022 (3.6489209380347 yrs)
- Last Updated
- Aug 30, 2024
- Licenses
-
RN2296859 (MA)RN2296859 (MA)RN2296859 (MA)
Practice Information
- Address
-
200 GROTON RDAYER, MA, 014321168Browse MA providers · Browse ZIP 01432
- Phone
- 9787849328
- Fax
- 9787849666
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Occupational Health Nurse Practitioner
- Additional Specialty
- Adult Health Nurse Practitioner
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.