Provider Demographics
NPI:1518662329
Name:TRVALIK, ARCADIA
Entity Type:Individual
Prefix:
First Name:ARCADIA
Middle Name:
Last Name:TRVALIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CADY
Other - Middle Name:
Other - Last Name:TRVALIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:150 V ST NW APT V107
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5606
Mailing Address - Country:US
Mailing Address - Phone:781-572-8868
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA200001725363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant