Healthcare Provider Details

I. General information

NPI: 1700915758
Provider Name (Legal Business Name): NHUNG THIHONG TRAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6367 WILLOW SPRINGS DR
MORRISON CO
80465-2155
US

IV. Provider business mailing address

6367 WILLOW SPRINGS DR
MORRISON CO
80465-2155
US

V. Phone/Fax

Practice location:
  • Phone: 303-973-7752
  • Fax:
Mailing address:
  • Phone: 303-973-7752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number28633
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: