Donna D Trast, RN, BSN, CDE, CPT

Individual provider Active NPI Diabetes Educator Registered Nurse · Hurley, NY

NPI 1093908162 · NPPES record last updated Aug 22, 2007

Key facts

NPI
1093908162
Entity type
Individual (NPI type 1)
Primary specialty
Diabetes Educator Registered Nurse 163WD0400X
License
300766-1 (NY)
Practice address
124 Gina CT
Hurley, NY 12443-5912
Phone
(845) 338-5154
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
300766-1NYMDCardiac Rehabilitation Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X 300766-1 NY
Diabetes Educator Registered Nurse 163WD0400X 300766-1 NY Yes
Nutrition Support Registered Nurse 163WN1003X 300766-1 NY

Addresses

Primary practice location

124 Gina CT
Hurley, NY 12443-5912

Mailing address

124 Gina CT
Hurley, NY 12443-5912
Phone (845) 338-5154

Other providers in Hurley, NY

All providers in Hurley, NY · Diabetes Educator Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.