MRS. Amy Sue Trivison, LPN LICENSE # 275747
NPI #1083350524 in North Syracuse, New York
Provider Information
- NPI Number
- 1083350524
- Entity Type
- Individual
- Name
- MRS. Amy Sue Trivison, LPN LICENSE # 275747
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN LICENSE # 275747
- Enumeration Date
- May 9, 2022
- Last Updated
- Apr 1, 2024
Practice Location
- Address
- 302 CHARLANE PARKWAY
- City
- North Syracuse
- State
- New York
- ZIP Code
- 13212-4211
- Phone
- (315) 402-4518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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