Individual
TRINA M KREPCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 S BOXELDER ST APT 1, CASPER, WY 82604-3374
(307) 241-2201
Mailing address
1406 S BOXELDER ST APT 1, CASPER, WY 82604-3374
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
WY
Enumeration date
11/07/2018
Last updated
11/07/2018
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