Provider Demographics
NPI:1295150555
Name:TRZCINSKI, DAVID ROBERT (NP-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ROBERT
Last Name:TRZCINSKI
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 NARROW LANE RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2953
Mailing Address - Country:US
Mailing Address - Phone:334-284-7704
Mailing Address - Fax:
Practice Address - Street 1:4465 NARROW LANE RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2953
Practice Address - Country:US
Practice Address - Phone:334-284-7704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-109573363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care