| Doctor Name: | THERESA LINH TRAN |
| NPI Number: | 1013190974 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | SP009801 |
| Business Practice Address: | 713 E Basin Rd New Castle, DE - 197204201 |
| Business Phone Number: | 3023245740 |
| Business Fax Number: | |
| Mailing Address: | 1 Emerald Ridge Dr, BEAR |
| State: | DE |
| Postal Code: | 197012233 |
| Phone Number: | 3028322894 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2007 |
| NPI Last Update Date: | 02/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP009801 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |