Provider Demographics
NPI:1295623494
Name:UMPLEBY, TRINITY ANN MARIE
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:ANN MARIE
Last Name:UMPLEBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 E INDIANA AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-5773
Mailing Address - Country:US
Mailing Address - Phone:701-955-0321
Mailing Address - Fax:
Practice Address - Street 1:128 E INDIANA AVE APT 105
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5773
Practice Address - Country:US
Practice Address - Phone:701-955-0321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant