Provider Demographics
NPI:1093270357
Name:TRAN, HEATHER (APRN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:131 S PEBBLE BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5791
Mailing Address - Country:US
Mailing Address - Phone:813-535-6441
Mailing Address - Fax:813-605-6149
Practice Address - Street 1:131 S PEBBLE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5791
Practice Address - Country:US
Practice Address - Phone:813-535-6441
Practice Address - Fax:813-605-6149
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DELG-0001234363LF0000X
FLAPRN11012099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily