Healthcare Provider Details

I. General information

NPI: 1164014981
Provider Name (Legal Business Name): TRAN NGUYEN PHAM FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRAN NGUYEN HUYNH

II. Dates (important events)

Enumeration Date: 02/04/2021
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 CHEF MENTEUR HWY STE A
NEW ORLEANS LA
70126-5000
US

IV. Provider business mailing address

PO BOX 740012
ATLANTA GA
30374-0012
US

V. Phone/Fax

Practice location:
  • Phone: 504-534-1227
  • Fax:
Mailing address:
  • Phone: 773-352-1515
  • Fax: 312-929-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number218396
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: