Individual
TRINA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1020 KABEL AVE, RHINELANDER, WI 54501
(715) 361-4700
Mailing address
1020 KABEL AVE, RHINELANDER, WI 54501-3918
(715) 361-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43888500
—
WI
Enumeration date
10/10/2006
Last updated
05/21/2018
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