Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Judith L Trevisano, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1760842512

Judith L Trevisano, AGNP is a Nurse Practitioner in Bullhead City, Arizona. Graduated from Saint Louis University School of Medicine in 2015, 11 years ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Trained at
Saint Louis University School of Medicine
Licensed in
AZ
In the registry since
2016
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2500 Canyon Rd Ste A1
Bullhead City, AZ 86442-8492
Phone: (928) 704-4499
Fax: (928) 704-7494
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence TEMP305268 (AZ)

Record details

NPI number1760842512
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedMarch 7, 2016
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bullhead City