Provider Demographics
NPI:1144611054
Name:TRAN, CHRIS T (ACNP, CRNFA)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:T
Last Name:TRAN
Suffix:
Gender:M
Credentials:ACNP, CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 W FRYE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6184
Mailing Address - Country:US
Mailing Address - Phone:480-917-5600
Mailing Address - Fax:602-294-4499
Practice Address - Street 1:1875 W FRYE RD STE 300
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-917-5600
Practice Address - Fax:602-294-4499
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7613363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care