Provider Demographics
NPI:1891756045
Name:TRIMMER, DOROTHY A (FNP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:A
Last Name:TRIMMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-954-7500
Mailing Address - Fax:702-266-8749
Practice Address - Street 1:7600 N 15TH ST STE 190
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4348
Practice Address - Country:US
Practice Address - Phone:602-200-3800
Practice Address - Fax:602-200-3838
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZNPCERTIFICATE #397363LF0000X
AZRN048734363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily