Provider Demographics
NPI:1285932806
Name:NESSELROTTE, TRINA E (MSN, APRN, A-GNP-C)
Entity type:Individual
Prefix:PROF
First Name:TRINA
Middle Name:E
Last Name:NESSELROTTE
Suffix:
Gender:F
Credentials:MSN, APRN, A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 SE 25TH ST
Mailing Address - Street 2:
Mailing Address - City:BUSHNELL
Mailing Address - State:FL
Mailing Address - Zip Code:33513-8769
Mailing Address - Country:US
Mailing Address - Phone:352-303-1103
Mailing Address - Fax:
Practice Address - Street 1:551 FIELDCREST DR
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-4600
Practice Address - Country:US
Practice Address - Phone:352-303-1103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-06
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9406150163W00000X
FLFB9727235174400000X
FL11018473363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No174400000XOther Service ProvidersSpecialist