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Individual
TRINA JOYCE LEISE
Active
Individual
TRINA JOYCE LEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
660297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11340359
TX DL
TX
05
—
184565301
—
TX
05
—
184565302
—
TX
05
—
184565303
—
TX
01
—
660297
TXBNE
TX
01
—
87072U
BCBS
TX
01
—
8965UG
BCBS TX
TX
01
—
P00428310
RAILROAD MEDICARE
TX
01
—
RN9186027
FLORIDA RN LICENSE
FL
Enumeration date
10/27/2006
Last updated
10/29/2015
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