| Doctor Name: | THERESA MARIE TRIMMELL |
| NPI Number: | 1427370428 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CCM |
| License Number: | RN00111732 |
| Business Practice Address: | 19995 Cloverland Rd Asotin, WA - 994029708 |
| Business Phone Number: | 5092439996 |
| Business Fax Number: | 5092439998 |
| Mailing Address: | Po Box 77, LEWISTON |
| State: | ID |
| Postal Code: | 835010077 |
| Phone Number: | 5092439996 |
| Fax Number: | 5092439998 |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | RN00111732 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |