Provider Demographics
NPI:1346508389
Name:TRIMBLE, MICHELE L (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:L
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 W MITCHELL HAMMOCK RD STE 1050
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8123
Mailing Address - Country:US
Mailing Address - Phone:407-890-1890
Mailing Address - Fax:407-890-1891
Practice Address - Street 1:968 W MITCHELL HAMMOCK RD STE 1050
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8123
Practice Address - Country:US
Practice Address - Phone:407-890-1890
Practice Address - Fax:407-890-1891
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9340625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily