Provider Demographics
NPI:1639584394
Name:TRAN, QUYEN L (APN)
Entity Type:Individual
Prefix:
First Name:QUYEN
Middle Name:L
Last Name:TRAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL PLAZA
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3012
Mailing Address - Country:US
Mailing Address - Phone:732-439-2392
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL PLAZA
Practice Address - Street 2:3RD FLOOR
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3012
Practice Address - Country:US
Practice Address - Phone:908-415-8829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-21
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00507100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner