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Individual

MS. GRETCHEN L TRENDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN 53-74781-071
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100422100A
KS
01
160705
MEDICARE
KS
Enumeration date
09/08/2005
Last updated
04/05/2012
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