Individual
MS. COLLEEN M TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8649
(414) 805-8641
Mailing address
9200 W WISCONSIN AVE, TRAUMA AND CRITICAL CARE SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-8649
(414) 805-8641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1922
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007000261I
HUMANA
—
Enumeration date
05/22/2006
Last updated
01/24/2020
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