Provider Demographics
NPI:1851385850
Name:TRZCINSKI, PATRICIA ANN (APRN, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:TRZCINSKI
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 SOUTH PIKE WEST
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2664
Mailing Address - Country:US
Mailing Address - Phone:803-774-7337
Mailing Address - Fax:803-774-4629
Practice Address - Street 1:370 SOUTH PIKE WEST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2664
Practice Address - Country:US
Practice Address - Phone:803-774-7337
Practice Address - Fax:803-774-4629
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN701363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC372048Medicaid
SC7124Medicare ID - Type Unspecified
SCNP03797124Medicare PIN
SC372048Medicaid