Trina Anderson

Individual provider Active NPI Doula · Oneida, WI

NPI 1942564547 · NPPES record last updated Jun 27, 2012

Key facts

NPI
1942564547
Entity type
Individual (NPI type 1)
Primary specialty
Doula 374J00000X
License
8567 (WI)
Practice address
530 Hunters Run
Oneida, WI 54155-8609
Phone
(920) 370-0345
NPI assigned
Jun 27, 2012
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

State licenses

LicenseStateTypeSpecialty
8567WIMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 8567 WI Yes

Addresses

Primary practice location

530 Hunters Run
Oneida, WI 54155-8609

Mailing address

530 Hunters Run
Oneida, WI 54155-8609
Phone (920) 370-0345

Other providers in Oneida, WI

All providers in Oneida, WI · Doula in Wisconsin

Sources for this page

Verify at the official NPI Registry.