Provider Demographics
NPI:1881750487
Name:TRINQUE, HOLLY N (FNP-C)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:N
Last Name:TRINQUE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:N
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:3000 RANCHETTE SQ
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-2612
Mailing Address - Country:US
Mailing Address - Phone:618-910-2528
Mailing Address - Fax:
Practice Address - Street 1:12280 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5009
Practice Address - Country:US
Practice Address - Phone:618-910-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041329445163W00000X
IL209005608363L00000X
FLARNP9314984363L00000X
FL9314984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner