NPI 1134641228

Trina Health Mtn LLC

Organisation Specialist Brentwood, TN

Practice location

Address: 1195 Old Hickory Blvd STE 202, Brentwood, TN 37027-4239
Phone: (916) 550-1050
Fax: (916) 550-1238
Mailing address: 4441 Auburn Blvd STE J, Sacramento, CA 95841-4139

Authorised official

Name: Deane' Wallace
Title: Credentialing Specialist
Phone: (916) 571-9041

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Tennessee →

Endocrinology, Diabetes & Metabolism Physician

Allopathic & Osteopathic Physicians Taxonomy 207RE0101X

Other Internal Medicine providers in Tennessee →

Registry record

NPI: 1134641228
Entity type: Organization
NPI issued: 11 Jul 2017
Record last updated: 18 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.