MEDICARE: MS. DENISE DIEP THI TRAN NURSE PRACTITIONER

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
1	363LF0000X	Family Nurse Practitioner	APN.0990240-NP	CO
2	363LF0000X	Family Nurse Practitioner	APN112166	AK

General Provider Information

NPI Number	:	1922443266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE DIEP THI TRAN NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	PO BOX 5517
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97228-5517
Country	:	US
Telephone Number	:	907-212-5165
Fax Number	:	907-212-0950

Provider Business Practice Location Address
First Line	:	1200 W NORTHERN LIGHTS BLVD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-3652
Country	:	US
Telephone Number	:	907-212-5165
Fax Number	:	907-212-0950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2013
Last Update Date	:	10/26/2023

Similar Medicare Providers

1508381450 — ELISA LOPEZ MARTINEZ PT
Practice Location Address:

1200 W NORTHERN LIGHTS BLVD STE A
ANCHORAGE, AK
99503-3652

Practice Phone: 907-212-2090
Practice Fax:

1841276102 — DR. KENNETH JEWELL NORRIS JR. MD
Practice Location Address:

1200 W NORTHERN LIGHTS BLVD STE B
ANCHORAGE, AK
99503-3652

Practice Phone: 907-212-5165
Practice Fax: 907-212-0950

1619272895 — AMY L CORDER DPT
Practice Location Address:

1200 W NORTHERN LIGHTS BLVD STE A
ANCHORAGE, AK
99503-3652

Practice Phone: 907-212-2090
Practice Fax: 907-212-2570

1700160827 — ALEXANDER KRYVENIA PA-C
Practice Location Address:

1200 W NORTHERN LIGHTS BLVD
ANCHORAGE, AK
99503-3652

Practice Phone: 907-212-5165
Practice Fax: 907-212-0950

1033480249 — VALERIE M ERICKSON PT
Practice Location Address:

1200 W NORTHERN LIGHTS BLVD STE A
ANCHORAGE, AK
99503-3652

Practice Phone: 907-212-2090
Practice Fax: 907-212-2570

1528472610 — STACEY MADDOX DO
Practice Location Address:

1200 W NORTHERN LIGHTS BLVD STE A
ANCHORAGE, AK
99503-3652

Practice Phone: 907-212-3420
Practice Fax: 907-212-5550

Directions to “ MS. DENISE DIEP THI TRAN NURSE PRACTITIONER” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.