MEDICARE: TREY NYGREN PA-C

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	363A00000X	Physician Assistant	085.008287	IL
2	363A00000X	Physician Assistant	108364	IA

General Provider Information

NPI Number	:	1467122242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREY NYGREN PA-C

Provider Business Mailing Address
First Line	:	1105 HACKER ST
Second Line	:
City	:	BUFFALO
State	:	IA
Zip	:	52728-7776
Country	:	US
Telephone Number	:	308-233-2353
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 HACKER ST
Second Line	:
City	:	BUFFALO
State	:	IA
Zip	:	52728-7776
Country	:	US
Telephone Number	:	308-233-2353
Fax Number	:

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

Provider Enumeration Date	:	09/14/2021
Last Update Date	:	09/14/2021

Similar Medicare Providers

1255562773 — COLLEEN CATHRYN REED-DITTMAR DC
Practice Location Address:

1134 FRONT ST , SUITE 200
BUFFALO, IA
52728

Practice Phone: 563-823-8608
Practice Fax:

1134454473 — DOCSIDE CHIROPRACTIC LLC
Practice Location Address:

1134 FRONT ST , SUITE 200, BOX 327
BUFFALO, IA
52728-7763

Practice Phone: 563-823-8836
Practice Fax:

1497057913 — RIVERWALK REHAB INC
Practice Location Address:

1134 FRONT ST
BUFFALO, IA
52728-7763

Practice Phone: 563-823-8836
Practice Fax:

1932485083 — KELLY ANNE BEITZEL L.M.T.
Practice Location Address:

1134 FRONT ST
BUFFALO, IA
52728-7763

Practice Phone: 563-823-8836
Practice Fax:

1891127148 — RIVERWALK HEALTH SERVICES INC.
Practice Location Address:

1134 FRONT ST , SUITE 400
BUFFALO, IA
52728-0327

Practice Phone: 563-594-9402
Practice Fax: 563-265-8884

1083031702 — MRS. KARA NICHOLE SHANNON D.C
Practice Location Address:

1134 FRONT ST , SUITE 200
BUFFALO, IA
52728-7763

Practice Phone: 563-823-8836
Practice Fax: 563-823-8305

Directions to “ TREY NYGREN PA-C” 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.