Provider Demographics
NPI:1477371300
Name:ZARAGOZA, TRINA MARIE (NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:TRINA
Middle Name:MARIE
Last Name:ZARAGOZA
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 E 120TH PL
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3640
Mailing Address - Country:US
Mailing Address - Phone:303-472-2910
Mailing Address - Fax:
Practice Address - Street 1:4520 E 120TH PL
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3640
Practice Address - Country:US
Practice Address - Phone:303-472-2910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3974161171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
Provider Identifiers
StateIdentifier IDID TypeIssuer
A-3974161OtherNATIONAL BOARD CETIFIED HEALTH & WELLNESS COACH