MEDICARE: MRS. TRINA JOY HAPPEL R.N

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	163W00000X	Registered Nurse	R169916-4	MN

General Provider Information

NPI Number	:	1316383318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRINA JOY HAPPEL R.N

Provider Business Mailing Address
First Line	:	76 W 3RD ST
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-3431
Country	:	US
Telephone Number	:	507-452-4307
Fax Number	:	507-457-0564

Provider Business Practice Location Address
First Line	:	76 W 3RD ST
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-3431
Country	:	US
Telephone Number	:	507-452-4307
Fax Number	:	507-457-0564

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

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	05/16/2013

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