Magnuson, Trisha

Magnuson, Trisha is an individual health care provider with primary practice located at 1530 N Limestone St , Gaffney SC 29340-4742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Magnuson, Trisha can be contacted via phone (864) 487-5014.

Contact Information

Primary practice address
1530 N Limestone St Gaffney SC 29340-4742
Fax: (864) 487-7981
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22898 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704196007 Michigan

Profile Details

NPI number 1518211630
LBN Legal business name Magnuson, Trisha
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2012
Last updated Feb 4th, 2021 - about 3 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 1518211630 NPPES
South Carolina MEDICAID NP6510
South Carolina Other SCG5285019

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