Healthcare Provider Details
I. General information
NPI: 1831846732
Provider Name (Legal Business Name): TRUSS SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/10/2022
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
733 W WARWICK DR
ALMA MI
48801-1101
US
IV. Provider business mailing address
733 W WARWICK DR
ALMA MI
48801-1101
US
V. Phone/Fax
- Phone: 989-916-8779
- Fax:
- Phone: 989-916-8779
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIA
TRUSS
Title or Position: NURSE PRACTITIONER PSYCH
Credential: PMHNP
Phone: 989-463-1101