Individual
MY TRINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32901 W 193RD ST, EDGERTON, KS 66021-8800
(913) 494-8059
Mailing address
32901 W 193RD ST, EDGERTON, KS 66021-8800
(913) 494-8059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
144909
KS
363L00000X
Nurse Practitioner
81196
KS
363LF0000X
Family Nurse Practitioner
Primary
81196
KS
Other
Enumeration date
07/28/2020
Last updated
08/21/2024
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