Provider Demographics
NPI:1851421556
Name:KHUU, TRAN LE (FNP)
Entity Type:Individual
Prefix:
First Name:TRAN
Middle Name:LE
Last Name:KHUU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9703 ATHEY RD STE 301
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2443
Mailing Address - Country:US
Mailing Address - Phone:703-362-7439
Mailing Address - Fax:
Practice Address - Street 1:402 CHATHAM SQUARE OFFICE PARK
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2544
Practice Address - Country:US
Practice Address - Phone:540-659-5414
Practice Address - Fax:540-659-5415
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555947111N00000X
VA0024179103363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA495923Medicare UPIN
VA00B911E55Medicare ID - Type Unspecified