Provider Demographics
NPI:1205714664
Name:HANLEY, TRIMONIA N (CERTIFIED NURSE AID)
Entity type:Individual
Prefix:
First Name:TRIMONIA
Middle Name:N
Last Name:HANLEY
Suffix:
Gender:F
Credentials:CERTIFIED NURSE AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LEXINGTON AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3882
Mailing Address - Country:US
Mailing Address - Phone:321-662-0799
Mailing Address - Fax:
Practice Address - Street 1:4 HUDSON HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-2958
Practice Address - Country:US
Practice Address - Phone:321-662-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
NY009248303747P1801X
NY00809331374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant