Individual
JULIE THU TRAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3917 CARMONA LAKES DR, MOORE, OK 73160-0012
(405) 306-7073
Mailing address
3917 CARMONA LAKES DR, MOORE, OK 73160-0012
(405) 306-7073
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R0114095
OK
363L00000X
Nurse Practitioner
Primary
204003
OK
Other
Enumeration date
04/21/2021
Last updated
07/01/2021
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