Individual
JENNIFER L TRIMBOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5493-33
WI
363LG0600X
Gerontology Nurse Practitioner
158569
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720415482
—
WI
Enumeration date
09/26/2013
Last updated
03/04/2021
Update your record
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