Provider Demographics
NPI:1225536121
Name:TREVINO, NEREYDA
Entity Type:Individual
Prefix:MISS
First Name:NEREYDA
Middle Name:
Last Name:TREVINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 JAIMIE WAY
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-2640
Mailing Address - Country:US
Mailing Address - Phone:830-488-1454
Mailing Address - Fax:830-488-1454
Practice Address - Street 1:122 JAIMIE WAY
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-2640
Practice Address - Country:US
Practice Address - Phone:830-488-1454
Practice Address - Fax:830-488-1454
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion