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Individual

KRISSA MARIE TROMBETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 230-8412
(423) 230-8502
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
203498
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024175347
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23023
TN

Other

Enumeration date
08/16/2017
Last updated
10/21/2024
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