Individual
KAITLYN ROSE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACCNS-P
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-1814
Mailing address
7313 NORMANDY RD, FORT WORTH, TX 76112-5341
(616) 915-7369
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
1096921
TX
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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