Provider Demographics
NPI:1114516317
Name:SPRINGER, TRIO MICHAELLA (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:TRIO
Middle Name:MICHAELLA
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9330 S 30TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5978
Mailing Address - Country:US
Mailing Address - Phone:402-310-7855
Mailing Address - Fax:
Practice Address - Street 1:9330 S 30TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5978
Practice Address - Country:US
Practice Address - Phone:402-310-7855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE82024163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse