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NPI Code Detail

MEDICARE: GENEVIEVE ELAINE TRYON CRNP

MEDICARE: GENEVIEVE ELAINE TRYON CRNP
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
1363LF0000XFamily Nurse PractitionerRN163147COA1OH

General Provider Information

NPI Number : 1952390346
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENEVIEVE ELAINE TRYON CRNP
Provider Business Mailing Address
First Line : 1005 OAKWOOD DR SE
Second Line :
City : WARREN
State : OH
Zip : 44484-5609
Country : US
Telephone Number : 330-550-1748
Fax Number : 330-841-9569
Provider Business Practice Location Address
First Line : 3893 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44484-4706
Country : US
Telephone Number : 330-856-4000
Fax Number : 330-609-9910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/09/2007

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Directions to “ GENEVIEVE ELAINE TRYON CRNP” Practice Location

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