MEDICARE: MRS. TRINA EAGAL FNP-BC

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	95004345	CA

General Provider Information

NPI Number	:	1407203573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRINA EAGAL FNP-BC

Provider Business Mailing Address
First Line	:	6118 RIVERBANK CIR
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95219-2524
Country	:	US
Telephone Number	:	209-608-1620
Fax Number	:

Provider Business Practice Location Address
First Line	:	2633 PACIFIC AVE
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-4429
Country	:	US
Telephone Number	:	209-944-5530
Fax Number	:

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

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	05/19/2016

Similar Medicare Providers

1225380603 — MANSHADI HEART INSTITUTE INC
Practice Location Address:

2633 PACIFIC AVE
STOCKTON, CA
95204-4429

Practice Phone: 209-944-5530
Practice Fax: 209-944-5990

1265595029 — DR. GUY GEORGE DAVIS DDS
Practice Location Address:

2627 PACIFIC AVE
STOCKTON, CA
95204-4429

Practice Phone: 209-462-9300
Practice Fax: 209-462-9313

1932434404 — NOEL LENA MORENO PA-C
Practice Location Address:

2633 PACIFIC AVE
STOCKTON, CA
95204-4429

Practice Phone: 209-944-5530
Practice Fax:

1013308485 — REX AMBATALI JR. AGACNP-BC, FNP-C
Practice Location Address:

2633 PACIFIC AVE
STOCKTON, CA
95204-4429

Practice Phone: 209-944-5530
Practice Fax:

1538783519 — BROOKE NICOLE FLETCHER
Practice Location Address:

2633 PACIFIC AVE
STOCKTON, CA
95204-4429

Practice Phone: 209-944-5530
Practice Fax:

1295117174 — STEVEN RYAN
Practice Location Address:

1947 N CALIFORNIA ST , B
STOCKTON, CA
95204-6029

Practice Phone: 209-463-0870
Practice Fax: 209-463-1903

Directions to “ MRS. TRINA EAGAL FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.