Healthcare Provider Details

I. General information

NPI: 1366454472
Provider Name (Legal Business Name): VANESSA ELYSE TRONO ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JAMES MADISON UNIVERSITY MSC2301
HARRISONBURG VA
22807-0001
US

IV. Provider business mailing address

1085 MEADOWLARK DR
HARRISONBURG VA
22802-4922
US

V. Phone/Fax

Practice location:
  • Phone: 540-568-7126
  • Fax:
Mailing address:
  • Phone: 857-222-6377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number0126001038
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: