MEDICARE: TREVINA H SPRINGER A.N.P.

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	7572	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669449484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVINA H SPRINGER A.N.P.

Provider Business Mailing Address
First Line	:	1030 JEFFERSON AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-2127
Country	:	US
Telephone Number	:	901-523-8990
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 JEFFERSON AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-2127
Country	:	US
Telephone Number	:	901-523-8990
Fax Number	:

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	09/11/2025

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