Provider Demographics
NPI:1780729632
Name:BROWN, TRINA ZUEHLSDORFF (MS, APRN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:TRINA
Middle Name:ZUEHLSDORFF
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, APRN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 ARAPEEN DR
Mailing Address - Street 2:100
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-1267
Mailing Address - Country:US
Mailing Address - Phone:801-585-0473
Mailing Address - Fax:801-587-3941
Practice Address - Street 1:615 ARAPEEN DR
Practice Address - Street 2:100
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-1267
Practice Address - Country:US
Practice Address - Phone:801-585-0473
Practice Address - Fax:801-587-3941
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT324816-4405363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics