Healthcare Provider Details

I. General information

NPI: 1285971754
Provider Name (Legal Business Name): RICHARD TRONO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2013
Last Update Date: 01/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ALLEN ST OCCUPATIONAL HEALTH
RUTLAND VT
05701-4560
US

IV. Provider business mailing address

160 ALLEN ST OCCUPATIONAL HEALTH
RUTLAND VT
05701-4560
US

V. Phone/Fax

Practice location:
  • Phone: 802-747-6517
  • Fax: 802-747-3789
Mailing address:
  • Phone: 802-747-6517
  • Fax: 802-747-3789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number026.0013665
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: