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Thai Bao Tran, NP
Nurse Practitioner in Myrtle Beach, South Carolina
NPI 1972195527

Thai Bao Tran is a Nurse Practitioner based in Myrtle Beach, SC. Thai Bao Tran practices in Myrtle Beach, SC and has the professional credentials of NP. The NPI Number for Thai Bao Tran is 1972195527 and holds a License No. 5014070 (South Carolina).

The current practice location address for Thai Bao Tran is 920 Doug White Dr Ste 210, Myrtle Beach, SC and can be reached out via phone at 843-497-6348 and via fax at 843-497-6351. You can also correspond with Thai Bao Tran through the mailing address at 920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC - 29572-4181 (mailing address contact number: 843-497-6348).

Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC, 29572-4181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972195527
Provider Name
Thai Bao Tran
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
920 Doug White Dr Ste 210, Myrtle Beach, SC, 29572-4181
Phone Number
843-497-6348
Fax Number
843-497-6351
Provider Enumeration Date
02/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 Doug White Dr Ste 210
City
Myrtle Beach
State
South Carolina
Zip
29572-4181
Phone Number
843-497-6348
Fax Number
843-497-6351
person
Provider Business Mailing Address Details
Address
920 Doug White Dr Ste 210
City
Myrtle Beach
State
South Carolina
Zip
29572-4181
Phone Number
843-497-6348
Fax Number
843-497-6351
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
26043 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
5014070 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
5014070 (North Carolina)
Definition
Definition to come...
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