Individual
DANIELLE CHRISTINE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4815 BEREWICK TOWN CENTER DR STE C&D, CHARLOTTE, NC 28278-6733
(980) 337-4652
(980) 337-4653
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09178
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-09178
NC MEDICAL LICENSE
NC
01
—
1134084
PA-C LICENSE
NC
Enumeration date
12/29/2016
Last updated
09/26/2024
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