Provider Demographics
NPI:1487761615
Name:TRENAISA NAY CONSULTING, LLC
Entity type:Organization
Organization Name:TRENAISA NAY CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TRENAISA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:801-391-4585
Mailing Address - Street 1:10171 DELSEY CV
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-7108
Mailing Address - Country:US
Mailing Address - Phone:801-391-4585
Mailing Address - Fax:801-282-0313
Practice Address - Street 1:10171 DELSEY CV
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-7108
Practice Address - Country:US
Practice Address - Phone:801-391-4585
Practice Address - Fax:801-282-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT200842-4405363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTQ32119Medicare UPIN