Individual
ANN TRAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5895 REIDVILLE RD, MOORE, SC 29369-8409
(864) 486-6990
Mailing address
5895 REIDVILLE RD, MOORE, SC 29369-8409
(864) 486-6990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95012419
CA
363LF0000X
Family Nurse Practitioner
Primary
25965
SC
363LF0000X
Family Nurse Practitioner
95012419
CA
363LF0000X
Family Nurse Practitioner
NP95012419
CA
364SG0600X
Gerontology Clinical Nurse Specialist
28096473A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201190350
—
IN
Enumeration date
04/29/2011
Last updated
03/13/2024
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