Individual
ETHAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2501 W 12TH ST STE C9, ERIE, PA 16505-4540
(814) 866-8484
Mailing address
2501 W 12TH ST STE C9, ERIE, PA 16505-4540
(814) 866-8484
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP029563
PA
Other
Enumeration date
01/06/2022
Last updated
05/20/2024
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