Healthcare Provider Details

I. General information

NPI: 1164354114
Provider Name (Legal Business Name): YOLANDA RENA TROTTER-DONALD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10721 W CAPITOL DR STE 105
WAUWATOSA WI
53222-1210
US

IV. Provider business mailing address

10721 W CAPITOL DR STE 105 PMB 1040
WAUWATOSA WI
53222-1210
US

V. Phone/Fax

Practice location:
  • Phone: 262-293-4979
  • Fax:
Mailing address:
  • Phone: 262-293-4979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: