MEDICARE: MR. ERIC RAYMOND TRINTER RN, FNP

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	COA.13553-NP	OH

General Provider Information

NPI Number	:	1275889842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC RAYMOND TRINTER RN, FNP

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 YARD ST STE 250
Second Line	:
City	:	GRANDVIEW HEIGHTS
State	:	OH
Zip	:	43212-3930
Country	:	US
Telephone Number	:	614-788-8150
Fax Number	:

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

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	10/20/2022

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