Provider Demographics
NPI:1083611123
Name:TRIMMER, ROSANN (CRNP)
Entity Type:Individual
Prefix:
First Name:ROSANN
Middle Name:
Last Name:TRIMMER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 SUMMIT AVE
Mailing Address - Street 2:MSO PHYSICIAN BILLING
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7776
Mailing Address - Fax:740-283-7190
Practice Address - Street 1:401 MARKET ST STE 1100
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2874
Practice Address - Country:US
Practice Address - Phone:740-284-1779
Practice Address - Fax:740-284-7146
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.05262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH500023883OtherRAILROAD MEDICARE
OH2164385Medicaid
OHP01125688OtherRR MEDICARE
WV7105098000Medicaid
OHH141780Medicare PIN
OHP01125688OtherRR MEDICARE
OH500023883OtherRAILROAD MEDICARE
S96887Medicare UPIN