Trenita Durham
Individual provider Active NPI Homemaker · Bossier City, LA
NPI 1679266274 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1679266274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 521 North Cir
Bossier City, LA 71111-4748 - Phone
- (318) 754-2377
- NPI assigned
- May 30, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
521 North Cir
Bossier City, LA 71111-4748
Mailing address
521 North Cir
Bossier City, LA 71111-4748
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.