Healthcare Provider Details

I. General information

NPI: 1609133164
Provider Name (Legal Business Name): SHAUNTE NHAN TRAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2012
Last Update Date: 04/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 35TH AVE S
SEATTLE WA
98144-2604
US

IV. Provider business mailing address

1601 146TH ST SW
LYNNWOOD WA
98087-6042
US

V. Phone/Fax

Practice location:
  • Phone: 206-890-0150
  • Fax:
Mailing address:
  • Phone: 206-393-8380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60045986
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: