Healthcare Provider Details

I. General information

NPI: 1124366109
Provider Name (Legal Business Name): ANNA TRAN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2013
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST FL 5 BOX 0570
SAN FRANCISCO CA
94158-2549
US

IV. Provider business mailing address

660 KING ST UNIT 453
SAN FRANCISCO CA
94107-1568
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-7841
  • Fax: 415-476-2929
Mailing address:
  • Phone: 510-827-0878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number22107
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: