Individual
BRITTANY ANN TREVINO-GOMBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
(623) 691-5924
Mailing address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
(623) 691-5924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP046747
AZ
363LF0000X
Family Nurse Practitioner
Primary
268330
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106863
—
AZ
Enumeration date
09/30/2010
Last updated
04/12/2022
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