Individual provider · Type 1 NPI
Elizabeth Sonja Trevathan
Pediatric Nurse Practitioner · Murray, KY
NPI number
1922020718
Active
Practice location
300 S 8th St, Suite 208 East
Murray, KY 42071-2400
Fax (270) 753-7345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 3728P (KY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1922020718
Elizabeth Sonja Trevathan's National Provider Identifier is 1922020718, issued on Jul 24, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Murray, KY. The record was last updated on Jul 8, 2007.