Crystal M Trabel, | |
208 Columbus St, Hicksville, OH 43526-1299 | |
(419) 542-6692 | |
Not Available |
Full Name | Crystal M Trabel |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 208 Columbus St, Hicksville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912480039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71008632A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | APRN.CNP.023623 (Ohio) | Primary |
Entity Name | Community Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730145392 PECOS PAC ID: 0547258907 Enrollment ID: O20040504000912 |
Entity Name | Lutheran Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090512000004 |
Mailing Address | Practice Location Address |
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Crystal M Trabel, 208 Columbus St, Hicksville, OH 43526-1299 Ph: (419) 542-6692 | Crystal M Trabel, 208 Columbus St, Hicksville, OH 43526-1299 Ph: (419) 542-6692 |
Mrs. Alisha Dianne Hudson, NP-C, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-6692 | |
Mrs. Stephanie R Ramey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-6692 | |
Ms. Jessica Joy Mendez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-6692 |