Provider Demographics
NPI:1508108564
Name:TRIFILETTI, EILEEN MARIE (RNC, ANP,GNP)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:MARIE
Last Name:TRIFILETTI
Suffix:
Gender:F
Credentials:RNC, ANP,GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SMITH HILL RD
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4219
Mailing Address - Country:US
Mailing Address - Phone:845-368-4860
Mailing Address - Fax:201-236-3888
Practice Address - Street 1:25 SMITH HILL RD
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-4219
Practice Address - Country:US
Practice Address - Phone:845-368-4860
Practice Address - Fax:201-236-3888
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-17
Last Update Date:2013-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY398792-1163WG0000X, 163WG0600X, 163WM0705X, 163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience