Provider Demographics
NPI:1013213800
Name:TTRN PLLC
Entity Type:Organization
Organization Name:TTRN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TRIMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:828-577-0107
Mailing Address - Street 1:59 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3544
Mailing Address - Country:US
Mailing Address - Phone:828-577-0107
Mailing Address - Fax:
Practice Address - Street 1:59 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3544
Practice Address - Country:US
Practice Address - Phone:828-577-0107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207962251B00000X, 251F00000X, 251J00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251V00000XAgenciesVoluntary or Charitable