| NPI | 1942554837 |
|---|---|
| Former Legal Business Name | TRIDENTUSA MOBILE CLINICAL SERVICES, LLC |
| Doing Business As | TRIDENTCARE CLINICAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | JOY L STEVENS Director Of Revenue Assurance 502-244-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2024-10-21 |