Trinity Carnicom, RN
Registered Nurse, Psych/Mental Health, Adult in Dayton, OH. Individual provider (NPI-1).
NPI number1801507280
StatusActive
Last updated in NPPESDec 7, 2022
Details
- NPI
- 1801507280
- Entity type
- Individual (NPI-1)
- Name
- Trinity Carnicom
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 7, 2022
- Certification date
- Dec 7, 2022
- Last updated
- Dec 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN.510386 | OH | Yes |
Practice location
2611 Wayne AveDayton, OH 45420-1833
Phone 937-256-7801
Mailing address
2611 Wayne AveDayton, OH 45420-1833
Phone 937-256-7801
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