Organization
TRINITY HEALTH AND WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE NUSSMEYER APN, FNP-C (OWNER)
(618) 665-7000
Entity
Organization
Contact information
Practice address
850 BRYANT ST, LOUISVILLE, IL 62858-1000
(314) 757-0140
Mailing address
850 BRYANT ST, LOUISVILLE, IL 62858-1000
(618) 665-7000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/19/2017
Last updated
01/24/2019
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