Grace, Karen Trister

Grace, Karen Trister is an individual health care provider with primary practice located at 8908 Riggs Rd , Adelphi MD 20783-1632. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Grace, Karen Trister can be contacted via phone (301) 422-5900.

Contact Information

Primary practice address
8908 Riggs Rd Adelphi MD 20783-1632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R198508 Maryland
Other Service Providers / Midwife 176B00000X 000990 New York

Profile Details

NPI number 1174612733
LBN Legal business name Grace, Karen Trister
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174612733 NPPES
New York MEDICAID 02192703

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