Individual
MARY ELIZABETH TRABALKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
501 19TH ST., SUITE 401, KNOXVILLE, TN 37916-1839
(865) 541-1975
(865) 541-1976
Mailing address
501 19TH ST., SUITE 401, KNOXVILLE, TN 37916-1839
(865) 541-1975
(865) 541-1976
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN0000084330
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3346293
—
TN
Enumeration date
11/02/2006
Last updated
10/01/2014
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