Basic Information
Provider Information
NPI: 1699296830
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOPKINS
FirstName: TRINA
MiddleName: MARANNE
NamePrefix: MRS.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 401 5TH AVE
Address2:  
City: SEATTLE
State: WA
PostalCode: 981041818
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 10521 MERIDIAN AVE N
Address2:  
City: SEATTLE
State: WA
PostalCode: 981339509
CountryCode: US
TelephoneNumber: 2062639424
FaxNumber: 2062050897
Other Information
ProviderEnumerationDate: 06/28/2017
LastUpdateDate: 06/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN00115004WAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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