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NPI Code Detail

MEDICARE: HOLLY N. TRINQUE FNP-C

MEDICARE: HOLLY N. TRINQUE FNP-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
1163W00000XRegistered Nurse041329445IL
2363L00000XNurse Practitioner209005608IL
3363L00000XNurse PractitionerARNP9314984FL
4363LF0000XFamily Nurse Practitioner9314984FL

General Provider Information

NPI Number : 1881750487
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY N. TRINQUE FNP-C
Provider Business Mailing Address
First Line : 3000 RANCHETTE SQ
Second Line :
City : GULF BREEZE
State : FL
Zip : 32563-2612
Country : US
Telephone Number : 618-910-2528
Fax Number :
Provider Business Practice Location Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number : 618-910-2528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 06/26/2012

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Directions to “ HOLLY N. TRINQUE FNP-C” Practice Location

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