Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | AP30007263 | WA |
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN.0993751-NP | CO |
NPI | 1053395301 |
---|---|
Provider Name | Valerie A Trump |
First Address | Kansas City, MO 64180-0022 |
Second Address | Colorado Springs, CO 80923-2614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 19/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9000168258 | (05) | CO |