| Doctor Name: | AN THUY TRAN |
| NPI Number: | 1942680533 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | NP 95002415 |
| Business Practice Address: | 52565 Harrison St Ste 104 Coachella, CA - 922361534 |
| Business Phone Number: | 7603980606 |
| Business Fax Number: | |
| Mailing Address: | 52565 Harrison St Ste 104, COACHELLA |
| State: | CA |
| Postal Code: | 922361534 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2015 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP 95002415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |