Healthcare Provider Details

I. General information

NPI: 1225827819
Provider Name (Legal Business Name): SANDY TRAN MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1181 GRIER DR STE C
LAS VEGAS NV
89119-3746
US

IV. Provider business mailing address

1181 GRIER DR STE C
LAS VEGAS NV
89119-3746
US

V. Phone/Fax

Practice location:
  • Phone: 888-888-9930
  • Fax:
Mailing address:
  • Phone: 888-888-9930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number889022
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTEMP889022
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: