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Individual

MRS. ELIZABETH A TRENT-METZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN RNCS FNP 106155

Contact information

Practice address
116 W BROADWAY ST, ROGERSVILLE, TN 37857-3247
(423) 272-7651
(423) 272-6177
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 272-7651
(423) 272-6177

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN7216
TN
363L00000X
Nurse Practitioner
RN106155
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2246806
CIGNA MCC
01
334969
VALUE OPTIONS GROUP
01
351654200
DOL WORKERS COMP
05
3729687
TN
05
3908734
TN
01
4045020
MAGELLAN PINNACLE
01
620582605
TRICARE SOUTH
01
620582605Y7
UBH JOHN DEERE
01
7884520
AETNA
Enumeration date
08/13/2006
Last updated
11/06/2009
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