Provider Demographics
NPI:1598121154
Name:MARAN-TRIMMER, TERESA (CRNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:MARAN-TRIMMER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:MARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-675-2545
Mailing Address - Fax:717-675-2550
Practice Address - Street 1:840 TUCK ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7477
Practice Address - Country:US
Practice Address - Phone:717-675-2545
Practice Address - Fax:717-675-2550
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015769363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPO1671581OtherRAILROAD MEDICARE
PAPO1671581OtherRAILROAD MEDICARE