Provider Demographics
NPI:1407232457
Name:VANG, TRONG (RN, FNP)
Entity type:Individual
Prefix:
First Name:TRONG
Middle Name:
Last Name:VANG
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8465 OLD REDWOOD HWY STE 320
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-9244
Mailing Address - Country:US
Mailing Address - Phone:707-433-5494
Mailing Address - Fax:707-431-8649
Practice Address - Street 1:8465 OLD REDWOOD HWY STE 320
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-9244
Practice Address - Country:US
Practice Address - Phone:707-431-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032960363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care