Healthcare Provider Details

I. General information

NPI: 1477558351
Provider Name (Legal Business Name): DENISE S TRUMBAUER DNP, APN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 PIEDMONT RD
VENICE FL
34293-4843
US

IV. Provider business mailing address

106 ANITA DR
EGG HARBOR TOWNSHIP NJ
08234-7522
US

V. Phone/Fax

Practice location:
  • Phone: 609-432-5417
  • Fax:
Mailing address:
  • Phone: 609-926-8485
  • Fax: 609-788-8111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11009647
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00030600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP003816C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: