Individual provider · Type 1 NPI
Mary Victoria Trimble, CRNA
Critical Care Medicine Registered Nurse · Charleston, SC
NPI number
1104601533
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
151 Rutledge Ave Bldg B
Charleston, SC 29425-8903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN.30412 (SC) |
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 256026 (SC) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1104601533
Mary Victoria Trimble, CRNA's National Provider Identifier is 1104601533, issued on Aug 24, 2023. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Charleston, SC. The record was last updated on Apr 15, 2026.