Provider Demographics
NPI:1285904136
Name:TRAN, KRISTINE (RN,CPNP)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:RN,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20618 PALM RAIN CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1842
Mailing Address - Country:US
Mailing Address - Phone:281-300-4088
Mailing Address - Fax:281-558-8081
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-558-5570
Practice Address - Fax:281-558-8081
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX684898363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics