Healthcare Provider Details

I. General information

NPI: 1962326504
Provider Name (Legal Business Name): ABBY TRAPP RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

325 E H ST
IRON MOUNTAIN MI
49801-4760
US

IV. Provider business mailing address

PO BOX 484
WOODRUFF WI
54568-0484
US

V. Phone/Fax

Practice location:
  • Phone: 715-362-4080
  • Fax:
Mailing address:
  • Phone: 715-892-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number248544-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: