Healthcare Provider Details

I. General information

NPI: 1760322259
Provider Name (Legal Business Name): BUU-AN TRIEU
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11283 OSAGE CIR UNIT B
NORTHGLENN CO
80234-4787
US

IV. Provider business mailing address

11283 OSAGE CIR UNIT B
NORTHGLENN CO
80234-4787
US

V. Phone/Fax

Practice location:
  • Phone: 303-718-6166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN.1638345
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: