Trevisano, Judith L
Trevisano, Judith L is an individual health care provider with primary practice located at 2500 Canyon Rd Ste A1 , Bullhead City AZ 86442-8492. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Trevisano, Judith L can be contacted via phone (928) 704-4499.Contact Information
Primary practice address
2500 Canyon Rd Ste A1
Bullhead City AZ 86442-8492
Phone: (928) 704-4499
Fax: (928) 704-7494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | TEMP305268 | Arizona |
Profile Details
| NPI number | 1760842512 |
|---|---|
| LBN Legal business name | Trevisano, Judith L |
| Credentials | AGNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2016 |
| Last updated | Apr 23rd, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760842512 | NPPES |
| Nevada | MEDICAID | 1760842512 |
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