Provider Demographics
NPI:1962270488
Name:THRAN, EDWARD (RN)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:
Last Name:THRAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CRYSTAL CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:YERINGTON
Mailing Address - State:NV
Mailing Address - Zip Code:89447-2903
Mailing Address - Country:US
Mailing Address - Phone:928-460-1764
Mailing Address - Fax:
Practice Address - Street 1:1025 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:SCHURZ
Practice Address - State:NV
Practice Address - Zip Code:89427
Practice Address - Country:US
Practice Address - Phone:775-773-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN42869163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice