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NPI Code Detail

MEDICARE: MRS. PAMELA W TRAN

MEDICARE: MRS. PAMELA W TRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist340094AZ
2163W00000XRegistered NurseRN9627541FL

General Provider Information

NPI Number : 1104660588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA W TRAN
Provider Business Mailing Address
First Line : 810 S PARK RD # 1-31
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8719
Country : US
Telephone Number : 512-569-8950
Fax Number :
Provider Business Practice Location Address
First Line : 1551 E TANGERINE RD
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-6213
Country : US
Telephone Number : 520-901-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2024
Last Update Date : 06/05/2026

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