Healthcare Provider Details

I. General information

NPI: 1538237540
Provider Name (Legal Business Name): CHRISTINA M TROUT APRNBC,CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18947 JOHN J WILLIAMS HWY UNIT 210
REHOBOTH BEACH DE
19971-4476
US

IV. Provider business mailing address

18947 JOHN J WILLIAMS HWY UNIT 210
REHOBOTH BEACH DE
19971-4476
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3121
  • Fax: 302-645-3428
Mailing address:
  • Phone: 302-645-3121
  • Fax: 302-645-3428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License NumberLN-0000120
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: