Individual
TRINGO DESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 M 139, BENTON HARBOR, MI 49022-3881
(855) 869-6900
(269) 427-5180
Mailing address
50 INDUSTRIAL PARK RD, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704240580
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363L00000X
TAXONOMY CODE
MI
01
—
4704240580
LICENSE
MI
Enumeration date
08/22/2019
Last updated
08/22/2019
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