Provider Demographics
NPI:1700137064
Name:TRINIDAD, ALBERTO JOVEN (APRN-CNS)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:JOVEN
Last Name:TRINIDAD
Suffix:
Gender:M
Credentials:APRN-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 S UTICA AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4243
Mailing Address - Country:US
Mailing Address - Phone:918-749-6400
Mailing Address - Fax:918-749-2168
Practice Address - Street 1:8803 S 101ST EAST AVE STE 320
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5732
Practice Address - Country:US
Practice Address - Phone:918-294-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0097461364SA2100X
OK97461364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care