Individual
TONY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
810 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-2182
(402) 426-1181
Mailing address
810 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-2182
(402) 426-1181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
53517
NE
367500000X
Certified Registered Nurse Anesthetist
D117138
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098713
MEDICARE-IMC/BERGAN
NE
05
—
10025507900
—
NE
05
—
10025709800
—
NE
05
—
10025745800
—
NE
05
—
47055043815
—
NE
01
—
I21224
MEDICARE-MERCY
IA
01
—
NA1324
MEDICARE-MIDLANDS
NE
Enumeration date
06/28/2006
Last updated
03/17/2018
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