Provider Demographics
NPI:1821774415
Name:BUI, NGOC-TRAN JOANNA
Entity type:Individual
Prefix:
First Name:NGOC-TRAN
Middle Name:JOANNA
Last Name:BUI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 WATERFORD ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68527-1788
Mailing Address - Country:US
Mailing Address - Phone:402-417-4104
Mailing Address - Fax:
Practice Address - Street 1:9800 WATERFORD ESTATES DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68527-1788
Practice Address - Country:US
Practice Address - Phone:402-417-4104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3196363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant