Individual
TINA M TRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2581 CLYDE AVE, STATE COLLEGE, PA 16801-7508
(814) 943-8164
(814) 940-7864
Mailing address
18914 2ND ST, EAGLE RIVER, AK 99577-8348
(716) 982-9905
(907) 257-7493
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F304807
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
104901
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760653372
MEDICARE RAILROAD NUMBER
NY
Enumeration date
03/23/2008
Last updated
11/22/2023
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