Fannin - Trisler, Kimberly R

Fannin - Trisler, Kimberly R is an individual health care provider with primary practice located at 2106 Loop Rd # C , Winnsboro LA 71295-3344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fannin - Trisler, Kimberly R can be contacted via phone (318) 435-4571.

Contact Information

Primary practice address
2106 Loop Rd # C Winnsboro LA 71295-3344
Phone: (318) 435-4571
Fax: (318) 435-3842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 085994 Louisiana

Profile Details

NPI number 1043318991
LBN Legal business name Fannin - Trisler, Kimberly R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043318991 NPPES
Louisiana MEDICAID 1447498

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