Individual provider · Type 1 NPI
Lara Trevino, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1487046397
Active
Practice location
304 W 88th St, 3D
New York, NY 10024-2227
Mailing address
85 W Burnside Ave
Bronx, NY 10453-4015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 691374-1 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F307592-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1487046397
Lara Trevino, NP's National Provider Identifier is 1487046397, issued on Mar 2, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Mar 28, 2016.