MEDICARE: MICHELLE M TRZESNIOWSKI 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
1	363LF0000X	Family Nurse Practitioner	SP010464	PA
2	363LF0000X	Family Nurse Practitioner	00241744805	VA

General Provider Information

NPI Number	:	1194051037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE M TRZESNIOWSKI CRNP

Provider Business Mailing Address
First Line	:	2620 ELM HILL PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3108
Country	:	US
Telephone Number	:	615-425-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	14101 MIDLOTHIAN TPKE
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-6523
Country	:	US
Telephone Number	:	804-893-5144
Fax Number	:

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

Provider Enumeration Date	:	10/28/2009
Last Update Date	:	06/11/2019

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