Vanessa Tran, MPA
Physician Assistant, Medical in Bryans Road, MD. Individual provider (NPI-1).
NPI number1164028528
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1164028528
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Tran
- Credential
- MPA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2020
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 0110008091 | VA | Yes |
Practice location
8030 Matthews Rd Ste 105Bryans Road, MD 20616-4266
Phone 301-375-8080
Mailing address
8030 Matthews Rd Ste 105Bryans Road, MD 20616-4266
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