Provider Demographics
NPI:1154456945
Name:TRAN, CHRISTINE DIMASI (APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DIMASI
Last Name:TRAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:988106 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8106
Mailing Address - Country:US
Mailing Address - Phone:402-559-5280
Mailing Address - Fax:402-553-5527
Practice Address - Street 1:988106 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-8106
Practice Address - Country:US
Practice Address - Phone:402-559-5280
Practice Address - Fax:402-553-5527
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110827363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47077295213Medicaid
NE47077295213Medicaid