MARY ELIZABETH TRABALKA ANP NPI 1205915311

NPI Information

NPI: 1205915311
Provider Name: MARY ELIZABETH TRABALKA, ANP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
501 19TH ST.
SUITE 401
KNOXVILLE, TN
ZIP 37916
Phone: (865) 541-1975
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Mary Elizabeth Trabalka, ANP is an obstetrics and gynecology nurse practitioner in Knoxville, TN. Mary Elizabeth Trabalka, ANP NPI is 1205915311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 19TH ST.
SUITE 401
KNOXVILLE, TN
ZIP 37916-839
Phone: (865) 541-1975
Fax: (865) 541-1976

The enumeration date for this NPI number is 11/2/2006 and was last updated on 10/1/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	RN0000084330	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S59443	MEDICARE UPIN
2	3346293	MEDICAID	TENNESSEE
3	3346293	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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