Provider Demographics
NPI:1568939833
Name:TRAN, THERESA NGUYEN (MSN, FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:THERESA
Middle Name:NGUYEN
Last Name:TRAN
Suffix:
Gender:F
Credentials:MSN, FNP-C
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Mailing Address - Street 1:9862 CHAPMAN AVE
Mailing Address - Street 2:STE B
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-2726
Mailing Address - Country:US
Mailing Address - Phone:714-620-7001
Mailing Address - Fax:714-620-7091
Practice Address - Street 1:9862 CHAPMAN AVE STE B
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-2726
Practice Address - Country:US
Practice Address - Phone:714-418-2040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95010331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily