Provider Demographics
NPI:1396590253
Name:TREVINO, MARIA RICH (APRN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:RICH
Last Name:TREVINO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-4118
Mailing Address - Country:US
Mailing Address - Phone:956-361-5009
Mailing Address - Fax:956-361-4539
Practice Address - Street 1:320 N WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-4118
Practice Address - Country:US
Practice Address - Phone:956-361-5009
Practice Address - Fax:956-361-4539
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1158160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily