Healthcare Provider Details

I. General information

NPI: 1760317960
Provider Name (Legal Business Name): MICHAEL A. TRENGE JR. APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12811 KENWOOD LN STE 213
FORT MYERS FL
33907-5648
US

IV. Provider business mailing address

8950 PENZANCE BLVD
FORT MYERS FL
33912-1421
US

V. Phone/Fax

Practice location:
  • Phone: 610-762-2252
  • Fax:
Mailing address:
  • Phone: 610-762-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11048386
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: