Provider Demographics
NPI:1558540401
Name:TRAN, CHRISTINA THUY (L AC, FNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:THUY
Last Name:TRAN
Suffix:
Gender:F
Credentials:L AC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 RALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2208
Mailing Address - Country:US
Mailing Address - Phone:415-822-9999
Mailing Address - Fax:
Practice Address - Street 1:950 RALSTON AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2208
Practice Address - Country:US
Practice Address - Phone:415-822-9999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2014-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA633782363LF0000X
CAAC 14448171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily