Healthcare Provider Details

I. General information

NPI: 1417651357
Provider Name (Legal Business Name): THIEN HUONG NGUYEN TRAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 JACKSON ST # K830
DENVER CO
80206-2762
US

IV. Provider business mailing address

1400 JACKSON ST #K830
DENVER CO
80206-2762
US

V. Phone/Fax

Practice location:
  • Phone: 303-398-1245
  • Fax: 303-270-2201
Mailing address:
  • Phone: 303-398-1245
  • Fax: 303-270-2201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDR.0077527
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: