Trabalka, Mary Elizabeth

Trabalka, Mary Elizabeth is an individual health care provider with primary practice located at 501 19Th St. Suite 401, Knoxville TN 37916-1839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Trabalka, Mary Elizabeth can be contacted via phone (865) 541-1975.

Contact Information

Primary practice address
501 19Th St. Suite 401 Knoxville TN 37916-1839
Phone: (865) 541-1975
Fax: (865) 541-1976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN0000084330 Tennessee

Profile Details

NPI number 1205915311
LBN Legal business name Trabalka, Mary Elizabeth
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Oct 1st, 2014 - about 10 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 1205915311 NPPES
Tennessee MEDICAID 3346293

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