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NPI Code Detail

MEDICARE: OLGA TRINIDAD ARNP

MEDICARE:   OLGA  TRINIDAD  ARNP
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 Practitioner9199956FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962997684
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA TRINIDAD ARNP
Provider Business Mailing Address
First Line : 11515 PALMETTO PINE ST
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-6229
Country : US
Telephone Number : 352-208-0567
Fax Number :
Provider Business Practice Location Address
First Line : 11515 PALMETTO PINE ST
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-6229
Country : US
Telephone Number : 352-208-0567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2018
Last Update Date : 06/25/2018

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Directions to “ OLGA TRINIDAD ARNP” Practice Location

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