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Individual
CAROLYN KIM TRAN
Active
Individual
CAROLYN KIM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, GNP-BC, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
741497
TX
363LG0600X
Gerontology Nurse Practitioner
741497
TX
363LG0600X
Gerontology Nurse Practitioner
AP119291
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP119291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318170307
—
TX
01
—
8530NZ
BCBS
TX
Enumeration date
06/16/2010
Last updated
10/13/2025
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