| NPI | 1144742750 |
|---|---|
| Former Name | ANNA M TREVISO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7772-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7772-3) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 7772-33) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-11-30 |