MICHELLE TREVINO FNP-BC NPI 1447960604

NPI Information

NPI: 1447960604
Provider Name: MICHELLE TREVINO, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
148 S BOLINGBROOK DR
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 914-5373
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Michelle Trevino, FNP-BC is a family nurse practitioner in Bolingbrook, IL with 2 years of experience. Michelle Trevino, FNP-BC NPI is 1447960604. 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:

148 S BOLINGBROOK DR
BOLINGBROOK, IL
ZIP 60440-852
Phone: (630) 914-5373

The NPI 1447960604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2022 and was last updated on 12/14/2022.

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	363LF0000X	Nurse Practitioner	Family	209.026569	ILLINOIS	Yes

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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