Provider Demographics
NPI:1528672540
Name:THI, TRAM-ANH HOANG (ARNP)
Entity type:Individual
Prefix:
First Name:TRAM-ANH
Middle Name:HOANG
Last Name:THI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 NE 55TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5536
Mailing Address - Country:US
Mailing Address - Phone:206-479-8414
Mailing Address - Fax:
Practice Address - Street 1:126 NW CANAL ST STE 2
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4970
Practice Address - Country:US
Practice Address - Phone:206-486-1500
Practice Address - Fax:206-775-7215
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60755714163WP0807X
WAAP61442665363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent