Provider Demographics
NPI:1326922287
Name:TRAN, KATIE (PA-C)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3 TIFFANY LN
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1653
Mailing Address - Country:US
Mailing Address - Phone:978-761-4622
Mailing Address - Fax:
Practice Address - Street 1:3 TIFFANY LN
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1653
Practice Address - Country:US
Practice Address - Phone:978-761-4622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant