Doctor Name: | NHU TRAN |
NPI Number: | 1073899878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP |
License Number: | 21369 |
Business Practice Address: | 1 Madrone St Willits, CA - 954904225 |
Business Phone Number: | 7074563041 |
Business Fax Number: | |
Mailing Address: | 1 Madrone St, WILLITS |
State: | CA |
Postal Code: | 954904225 |
Phone Number: | 7074563041 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2011 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 21369 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |