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

MIMI PHAM NGUYEN

Active

MIMI PHAM NGUYEN is a Physician Assistant healthcare provider located in SPRINGFIELD, Massachusetts. NPI 1508635012 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SPRINGFIELD, MA

Registration Details

NPI Number
1508635012
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2023 (2.6203780147521 yrs)
Last Updated
Feb 13, 2026
Licenses
PA102162 (MA)
PA102162 (MA)

Practice Information

Address
299 CAREW ST STE 322
SPRINGFIELD, MA, 011042431
Browse MA providers · Browse ZIP 01104
Phone
5083735607
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Family Medicine

Other Physician Assistant Providers in SPRINGFIELD, MA

Name Credential NPI
ALISON JOHNSON PA 1730181355
MS. JESSICA L RODRIGUES PA 1598749137
MR. THOMAS FRANCO PA 1538144837
MS. JENNIFER L SAMALE PAC 1154391597
MRS. SARAH A. DURGIN PA 1841255403
JOHN E HAUSCHILD PA 1871558957
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.