Healthcare Provider Details

I. General information

NPI: 1033025549
Provider Name (Legal Business Name): CHRISTINA TREJO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17256 LIBRARY BLVD
RUTHER GLEN VA
22546-5801
US

IV. Provider business mailing address

17256 LIBRARY BLVD
RUTHER GLEN VA
22546-5801
US

V. Phone/Fax

Practice location:
  • Phone: 571-730-8789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number0001303222
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: