Provider Demographics
NPI:1285184135
Name:TRAN, TRANG THU (RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:THU
Last Name:TRAN
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:5385 FRANKLIN BLVD STE A-D
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-4717
Mailing Address - Country:US
Mailing Address - Phone:916-450-2500
Mailing Address - Fax:916-452-9753
Practice Address - Street 1:10305 PROMENADE PKWY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-9400
Practice Address - Country:US
Practice Address - Phone:916-544-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95095753163WW0101X
CA95009083363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory