Provider Demographics
NPI:1255079992
Name:KAISER, TRINA MARIE (FNP)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:MARIE
Last Name:KAISER
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 1:120691 BIG RAPIDS RD
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54484-8011
Mailing Address - Country:US
Mailing Address - Phone:715-507-1927
Mailing Address - Fax:
Practice Address - Street 1:120691 BIG RAPIDS RD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:WI
Practice Address - Zip Code:54484-8011
Practice Address - Country:US
Practice Address - Phone:715-507-1927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13037-33363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care