Provider Demographics
NPI:1598350449
Name:TRIMBLE, NATASHIA (RN)
Entity Type:Individual
Prefix:
First Name:NATASHIA
Middle Name:
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1929 BUCKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-3505
Mailing Address - Country:US
Mailing Address - Phone:419-332-0091
Mailing Address - Fax:
Practice Address - Street 1:1929 BUCKLAND AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-3505
Practice Address - Country:US
Practice Address - Phone:419-332-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.405259163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool