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NPI Code Detail

MEDICARE: MRS. TRINA LAYVONNE TOWNSEND RN- BSN

MEDICARE: MRS. TRINA LAYVONNE TOWNSEND RN- BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse4704308754MI

General Provider Information

NPI Number : 1366300311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRINA LAYVONNE TOWNSEND RN- BSN
Provider Business Mailing Address
First Line : PO BOX 1022
Second Line :
City : GRAND BLANC
State : MI
Zip : 48480-4022
Country : US
Telephone Number : 989-295-6980
Fax Number :
Provider Business Practice Location Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-257-3705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 03/04/2026

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