Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 023767 | PA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | SP009960 | PA |
NPI | 1134584691 |
---|---|
Provider Name | Ms. Trishelle Lynn Himmelrick |
First Address | Weirton, WV 26062-4308 |
Second Address | Pittsburgh, PA 15224-1334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2015 |
Last Update Date | 28/12/2015 |