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NPI Code Detail

MEDICARE: TAMMY THI TRAN BSN, RN

MEDICARE:   TAMMY THI TRAN  BSN, RN
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
1163W00000XRegistered Nurse165623IA

General Provider Information

NPI Number : 1164352043
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY THI TRAN BSN, RN
Provider Business Mailing Address
First Line : 8018 DELLWOOD DR
Second Line :
City : URBANDALE
State : IA
Zip : 50322-4439
Country : US
Telephone Number : 515-864-9949
Fax Number :
Provider Business Practice Location Address
First Line : 1601 NW 114TH ST
Second Line :
City : CLIVE
State : IA
Zip : 50325-7007
Country : US
Telephone Number : 515-222-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ TAMMY THI TRAN BSN, RN” Practice Location

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