Individual
MS. CARRIE ELIZABETH TRUBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 COMMERCIAL ST STE 4, LIVONIA, NY 14487-9112
(585) 733-6472
Mailing address
20 LINDEN ST, LIVONIA, NY 14487-9735
(585) 733-6472
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
22566905
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403076
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06262019
—
NY
Enumeration date
04/18/2009
Last updated
08/01/2022
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