Provider Demographics
NPI:1083377014
Name:TROCHECK, MAYA REGINA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:MAYA
Middle Name:REGINA
Last Name:TROCHECK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MAYA
Other - Middle Name:REGINA
Other - Last Name:GEBHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:4910 GODDARDS FORD RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-5128
Mailing Address - Country:US
Mailing Address - Phone:607-745-1506
Mailing Address - Fax:
Practice Address - Street 1:1561 LENRU RD STE A
Practice Address - Street 2:
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622-3334
Practice Address - Country:US
Practice Address - Phone:770-725-2399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-17
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN280827363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily