Provider Demographics
NPI:1881422061
Name:TRIVINO, ASHLEY (DNP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:TRIVINO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 E TWIGGS ST UNIT 583
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3131
Mailing Address - Country:US
Mailing Address - Phone:352-895-8091
Mailing Address - Fax:
Practice Address - Street 1:17718 HUNTING BOW CIR
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5322
Practice Address - Country:US
Practice Address - Phone:813-501-7011
Practice Address - Fax:855-522-4812
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11034175363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily