Individual
TAM NGUYEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-4843
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5628
MN
363L00000X
Nurse Practitioner
8167-33
WI
363L00000X
Nurse Practitioner
Primary
99997
OK
363LF0000X
Family Nurse Practitioner
99997
OK
Other
Enumeration date
07/28/2017
Last updated
11/20/2023
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