Provider Demographics
NPI:1730976952
Name:PHAM, DZUNG THUY (SOLE CHORE PROVIDER)
Entity type:Individual
Prefix:
First Name:DZUNG
Middle Name:THUY
Last Name:PHAM
Suffix:
Gender:
Credentials:SOLE CHORE PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-3406
Mailing Address - Country:US
Mailing Address - Phone:402-304-5608
Mailing Address - Fax:
Practice Address - Street 1:725 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-3406
Practice Address - Country:US
Practice Address - Phone:402-304-5608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider