Healthcare Provider Details

I. General information

NPI: 1346724150
Provider Name (Legal Business Name): TRAN HONG WOOLLEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRAN HONG RN

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 NORTH RD
POUGHKEEPSIE NY
12601-1328
US

IV. Provider business mailing address

611 UNION ST
HUDSON NY
12534-2811
US

V. Phone/Fax

Practice location:
  • Phone: 845-486-2703
  • Fax: 845-486-2865
Mailing address:
  • Phone: 207-699-6330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN152222
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number219532
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number026.0145757
License Number StateVT
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR206599
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number101.0134829
License Number StateVT
# 6
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number403714
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: