Healthcare Provider Details

I. General information

NPI: 1083611123
Provider Name (Legal Business Name): ROSANN TRIMMER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MARKET ST STE 1100
STEUBENVILLE OH
43952-2874
US

IV. Provider business mailing address

380 SUMMIT AVE MSO PHYSICIAN BILLING
STEUBENVILLE OH
43952-2667
US

V. Phone/Fax

Practice location:
  • Phone: 740-284-1779
  • Fax: 740-284-7146
Mailing address:
  • Phone: 740-283-7776
  • Fax: 740-283-7190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.05262
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: