NPI Profile for TRINIDAD D AGTARAP in WOODSIDE, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Wound Care |
163WW0000X |
| NPI Number | 1295962041 |
|
| Status | Active | |
| Credentials | GNP-BC (Gerontological Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/19/2009 | |
| Last updated | 06/07/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRINIDAD D AGTARAP
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