Provider Demographics
NPI:1154646685
Name:TRIMBACH, CRAIG ANTHONY (CRNA)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ANTHONY
Last Name:TRIMBACH
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 BILTMORE ST NW
Mailing Address - Street 2:APT 6
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1900
Mailing Address - Country:US
Mailing Address - Phone:301-461-8873
Mailing Address - Fax:
Practice Address - Street 1:1807 BILTMORE ST NW
Practice Address - Street 2:APT 6
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1900
Practice Address - Country:US
Practice Address - Phone:301-461-8873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-27
Last Update Date:2010-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168698367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered