Provider Demographics
NPI:1649037821
Name:TRAN, DAYANA FERNANDEZ
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:FERNANDEZ
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3594 ORCHI RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38108-2057
Mailing Address - Country:US
Mailing Address - Phone:901-340-1974
Mailing Address - Fax:
Practice Address - Street 1:3594 ORCHI RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38108-2057
Practice Address - Country:US
Practice Address - Phone:901-340-1974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker