Individual
CAROLYN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 NORTH BEAUREGARD STREET, SUITE 250, ALEXANDRIA, VA 22311-5879
(703) 370-2400
(703) 370-7214
Mailing address
224D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6001
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008194
VA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588330948
—
VA
05
—
30016201770001
—
VA
Enumeration date
08/17/2021
Last updated
12/12/2023
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