Provider Demographics
NPI:1003938143
Name:TRZEBIATOWSKI, VIRGINIA H (APRN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:H
Last Name:TRZEBIATOWSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:HELEN
Other - Last Name:JANSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:11954 NARCOOSSEE RD SUITE 2#504
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6998
Mailing Address - Country:US
Mailing Address - Phone:800-925-1840
Mailing Address - Fax:800-521-9406
Practice Address - Street 1:11954 NARCOOSSEE RD SUITE 2#504
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6998
Practice Address - Country:US
Practice Address - Phone:800-925-1840
Practice Address - Fax:800-521-9406
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2977363L00000X
FLAPRN9496786363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN9496786OtherFL MEDICAL LICENSE