Provider Demographics
NPI:1346724150
Name:WOOLLEY, TRAN HONG (APRN)
Entity Type:Individual
Prefix:
First Name:TRAN
Middle Name:HONG
Last Name:WOOLLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TRAN
Other - Middle Name:
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:611 UNION ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2811
Mailing Address - Country:US
Mailing Address - Phone:207-699-6330
Mailing Address - Fax:
Practice Address - Street 1:230 NORTH RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1328
Practice Address - Country:US
Practice Address - Phone:845-486-2703
Practice Address - Fax:845-486-2865
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN152222163WP0808X
LA219532363LP0808X
VT026.0145757163WP0808X
MDR206599163WP0808X
VT101.0134829363LP0808X
NY403714363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health