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NPI Code Detail

MEDICARE: TRANG THI NGO APRN

MEDICARE: TRANG THI NGO APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner3202782FL

General Provider Information

NPI Number : 1972773000
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRANG THI NGO APRN
Provider Business Mailing Address
First Line : 6431 NW 26TH TER
Second Line :
City : GAINESVILLE
State : FL
Zip : 32653-1534
Country : US
Telephone Number : 352-870-9151
Fax Number :
Provider Business Practice Location Address
First Line : 4225 NW AMERICAN LN
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-8841
Country : US
Telephone Number : 386-758-6141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2008
Last Update Date : 03/05/2008

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Directions to “ TRANG THI NGO APRN” Practice Location

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