Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 3006465 | KY |
NPI | 1083925770 |
---|---|
Provider Name | Ms. Sarah Jeanette Trimble |
First Address | Burkesville, KY 42717-1080 |
Second Address | Somerset, KY 42503-2873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 05/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100168840 | (05) | KY |