TRINA HEALTH MTN LLC NPI 1134641228

NPI Information

TRINA HEALTH MTN LLC is a specialist in Brentwood, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TRINA HEALTH MTN LLC NPI is 1134641228. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Trina Diabetes Health Center.

The provider's business location address is:

1195 OLD HICKORY BLVD STE 202
BRENTWOOD, TN
ZIP 37027-239
Phone: (916) 550-1050
Fax: (916) 550-1238

The provider's authorized official is Deane' Wallace .
The authorized official title is Credentialing Specialist and has the following contact phone number (916) 571-9041.

The enumeration date for this NPI number is 7/11/2017 and was last updated on 7/18/2017.

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:

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