person
Judith L Trevisano, AGNP
Adult Health Nurse Practitioner in Bullhead City, Arizona
NPI 1760842512

Judith L Trevisano is an Adult Health Nurse Practitioner based in Bullhead City, AZ and is specialized in Adult Health. Judith L Trevisano practices in Bullhead City, AZ and has the professional credentials of AGNP. The NPI Number for Judith L Trevisano is 1760842512 and holds a License No. TEMP305268 (Arizona).

The current practice location address for Judith L Trevisano is 2500 Canyon Rd Ste A1, Bullhead City, AZ and can be reached out via phone at 928-704-4499 and via fax at 928-704-7494.

Location: 2500 Canyon Rd Ste A1, Bullhead City, AZ, 86442-8492
person
Provider Profile Details
NPI Number
1760842512
Provider Name
Judith L Trevisano
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
2500 Canyon Rd Ste A1, Bullhead City, AZ, 86442-8492
Phone Number
928-704-4499
Fax Number
928-704-7494
Provider Enumeration Date
03/07/2016
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760842512 05 NV
institution
Provider Business Practice Location Address Details
Address
2500 Canyon Rd Ste A1
City
State
Zip
86442-8492
Phone Number
928-704-4499
Fax Number
928-704-7494
person
Provider Business Mailing Address Details
Address
2500 Canyon Rd Ste A1
City
State
Zip
86442-8492
Phone Number
928-704-4499
Fax Number
928-704-7494
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
TEMP305268 (Arizona)
Definition
Definition to come...
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