Provider Demographics
NPI:1992013700
Name:TREFFINGER, EMILY DIANNE (CNP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:DIANNE
Last Name:TREFFINGER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45403-1991
Mailing Address - Country:US
Mailing Address - Phone:937-528-6850
Mailing Address - Fax:937-586-9736
Practice Address - Street 1:1074 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45420-1522
Practice Address - Country:US
Practice Address - Phone:937-258-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.07920363LA2200X
OHCOA.07920-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3108943Medicaid
OHH160830Medicare UPIN