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

INDAVONG PHONASA, FNP-C

Active

INDAVONG PHONASA, FNP-C is a Family Nurse Practitioner healthcare provider located in ODESSA, Texas. NPI 1912356130 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ODESSA, TX

Registration Details

NPI Number
1912356130
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2016 (10.169765539723 yrs)
Last Updated
Jun 8, 2016
License
AP131078 (TX)

Practice Information

Address
605 E 4TH ST
ODESSA, TX, 797615100
Browse TX providers · Browse ZIP 79761
Phone
4323374347
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in ODESSA, TX

Name Credential NPI
DONNA MARIE JOHNSON RNC, FNP-C 1124011275
MRS. ROBIN DENISE FLOYD FNP-BC 1114913027
RONELL JEAN CARLSON FNP 1245273325
RHONDA D WHITE NP 1447296884
LEE M MACMURDO III FNP 1396850871
NANCY P BUENO FNP-C 1336200310
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.