Provider Demographics
NPI:1649943911
Name:DANG, MINH-CHAU T (DNP, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:MINH-CHAU
Middle Name:T
Last Name:DANG
Suffix:
Gender:F
Credentials:DNP, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 W LA SALLE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5217
Mailing Address - Country:US
Mailing Address - Phone:206-529-7967
Mailing Address - Fax:
Practice Address - Street 1:2901 W SAINT ISABEL ST STE D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6350
Practice Address - Country:US
Practice Address - Phone:352-702-3765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-31
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health