Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RODOLFO ANIBAL TRIVISONNO, MD
Active Sole ProprietorDR. RODOLFO ANIBAL TRIVISONNO, MD is a Psychiatry healthcare provider located in LAKE STEVENS, Washington. NPI 1578610721 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · LAKE STEVENS, WA
Registration Details
- NPI Number
- 1578610721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2007 (19.64684693243 yrs)
- Last Updated
- Jan 9, 2024
- License
-
MD00034739 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
319 119TH DRIVE SELAKE STEVENS, WA, 982587717Browse WA providers · Browse ZIP 98258
- Phone
- 4259487893
- Fax
- 4259487943
- Primary Specialty
-
Psychiatry
2084P0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.