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Individual

TRINA DESIREE LANZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, FNP

Contact information

Practice address
3549 HIGH TIMBER DR., GRAPEVINE, TX 76051
(682) 521-2295
(682) 521-2295
Mailing address
PO BOX 1336, COLLEYVILLE, TX 76034
(682) 521-2295

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
583243
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP114312
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177844103
TX
05
177844104
TX
05
177844105
TX
Enumeration date
05/11/2006
Last updated
03/20/2021
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