Koudelka, Trina
Koudelka, Trina is an individual health care provider with primary practice located at 3015 Squalicum Pkwy Ste 100 , Bellingham WA 98225-1906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Koudelka, Trina can be contacted via phone (360) 715-4186.Contact Information
Primary practice address
3015 Squalicum Pkwy Ste 100
Bellingham WA 98225-1906
Phone: (360) 715-4186
Fax: (360) 715-4187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP60807103 | Washington |
Profile Details
| NPI number | 1497203244 |
|---|---|
| LBN Legal business name | Koudelka, Trina |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2016 |
| Last updated | Mar 16th, 2018 - 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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