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NPI Code Detail

MEDICARE: JANESE AGNEW TRIVETTE NP

MEDICARE: JANESE AGNEW TRIVETTE NP
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
1363LF0000XFamily Nurse Practitioner0050-00714NC
2363L00000XNurse Practitioner0050-00714NC

Other Identifiers

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

General Provider Information

NPI Number : 1780798041
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANESE AGNEW TRIVETTE NP
Provider Business Mailing Address
First Line : 915 TATE BLVD SE STE 170
Second Line :
City : HICKORY
State : NC
Zip : 28602-4012
Country : US
Telephone Number : 828-345-0800
Fax Number : 828-345-0350
Provider Business Practice Location Address
First Line : 915 TATE BLVD SE STE 170
Second Line :
City : HICKORY
State : NC
Zip : 28602-4012
Country : US
Telephone Number : 828-345-0800
Fax Number : 828-345-0350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 05/21/2008

Similar Medicare Providers

1851244339 — AMBER DANIEL
Practice Location Address:
915 TATE BLVD SE STE 170
HICKORY, NC
28602-4012
Practice Phone: 828-345-0800
Practice Fax:
1295732394 — MRS. VICKIE WEST LOVIN M.D.
Practice Location Address:
915 TATE BLVD SE STE 170
HICKORY, NC
28602-4012
Practice Phone: 828-345-0800
Practice Fax: 828-345-0350
1821030834 — ANNE RICARDO GONZALEZ MD
Practice Location Address:
915 TATE BLVD SE , STE 170
HICKORY, NC
28602-4012
Practice Phone: 828-345-0800
Practice Fax: 828-345-0350
1205162633 — MRS. SONIA K FOSTER CNM
Practice Location Address:
915 TATE BLVD SE STE 170
HICKORY, NC
28602-4012
Practice Phone: 828-345-0800
Practice Fax: 828-345-0350
1427462498 — LAUREN HILL M.D.
Practice Location Address:
915 TATE BLVD SE STE 170
HICKORY, NC
28602-4012
Practice Phone: 828-345-0800
Practice Fax: 828-345-0350
1720536261 — FLORENCE HARRIS MSN, FNP
Practice Location Address:
915 TATE BLVD SE STE 170
HICKORY, NC
28602-4012
Practice Phone: 865-310-3841
Practice Fax:

Directions to “ JANESE AGNEW TRIVETTE NP” Practice Location

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