Doctor Name: | BRYN MICHELLE TROGDON |
NPI Number: | 1043591233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F0711138 |
Business Practice Address: | 450 Alkyre Run Suite 350 Westerville, OH - 430826909 |
Business Phone Number: | 6147545500 |
Business Fax Number: | 6147545501 |
Mailing Address: | 3400 Olentangy River Rd, COLUMBUS |
State: | OH |
Postal Code: | 432021523 |
Phone Number: | 6147545500 |
Fax Number: | 6144579519 |
NPI Enumeration Date: | 09/01/2011 |
NPI Last Update Date: | 08/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F0711138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |