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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	4704308754	MI

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	:	PO BOX 1022
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48480-4022
Country	:	US
Telephone Number	:	989-295-6980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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