Provider Demographics
NPI:1235992157
Name:STAFNE, TRISHA E (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:E
Last Name:STAFNE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10511 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:THONOTOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:33592-2713
Mailing Address - Country:US
Mailing Address - Phone:218-390-2457
Mailing Address - Fax:
Practice Address - Street 1:10511 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:THONOTOSASSA
Practice Address - State:FL
Practice Address - Zip Code:33592-2713
Practice Address - Country:US
Practice Address - Phone:218-390-2457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030225363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily