MEDICARE: TRINA HRIBAL 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	SP017476	PA

General Provider Information

NPI Number	:	1295265486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRINA HRIBAL CRNP

Provider Business Mailing Address
First Line	:	308 BESSEMER RD STE 100
Second Line	:
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-9134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 BESSEMER RD
Second Line	:
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-9134
Country	:	US
Telephone Number	:	724-542-4321
Fax Number	:

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

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	06/19/2017

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