Healthcare Provider Details

I. General information

NPI: 1053395301
Provider Name (Legal Business Name): VALERIE A TRUMP WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE A GABEL, HOVLAND

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6071 E WOODMEN RD STE 405
COLORADO SPRINGS CO
80923-2614
US

IV. Provider business mailing address

PO BOX 800022
KANSAS CITY MO
64180-0022
US

V. Phone/Fax

Practice location:
  • Phone: 719-571-4500
  • Fax: 719-571-4501
Mailing address:
  • Phone: 800-953-0104
  • Fax: 303-765-6670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-39921
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-075415
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00151543
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP30007263
License Number StateWA
# 5
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN.0993751-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: