Basic Information
Provider Information
NPI: 1700508520
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAN-JAMETTE
FirstName: ANH
MiddleName: THUY
NamePrefix: DR.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 SW 104TH TER APT 312
Address2:  
City: MIRAMAR
State: FL
PostalCode: 330251892
CountryCode: US
TelephoneNumber: 3059849445
FaxNumber:  
Practice Location
Address1: 3476 S UNIVERSITY DR
Address2:  
City: DAVIE
State: FL
PostalCode: 333282000
CountryCode: US
TelephoneNumber: 9544754400
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/19/2022
LastUpdateDate: 10/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X137495FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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