Individual provider · Type 1 NPI

Theresa Trivisonno, CNP

Primary Care Nurse Practitioner · Beachwood, OH

NPI number 1740853977 Active

About NPI 1740853977

Theresa Trivisonno, CNP's National Provider Identifier is 1740853977, issued on Jul 24, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Beachwood, OH. The record was last updated on Jul 24, 2021.