Healthcare Provider Details

I. General information

NPI: 1730462789
Provider Name (Legal Business Name): DENNA TRIGGS BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENNA THOMSPON BA

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4909 W CENTER ST
MILWAUKEE WI
53210-2310
US

IV. Provider business mailing address

4909 W CENTER ST
MILWAUKEE WI
53210-2310
US

V. Phone/Fax

Practice location:
  • Phone: 414-207-4522
  • Fax:
Mailing address:
  • Phone: 414-207-4522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: