Individual
NICOLE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
830 HARRISON AVENUE, SUITE 1400, BOSTON, MA 02118
(617) 638-8124
(617) 414-4953
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110216220A
—
MA
05
—
3148443
—
NH
Enumeration date
10/01/2024
Last updated
06/16/2025
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