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Individual
NHI TRAN
Active
Individual
NHI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1016316
TX
363LF0000X
Family Nurse Practitioner
Primary
1016316
TX
Other
Enumeration date
03/19/2022
Last updated
03/23/2022
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