MEDICARE: GOLDA TROMPETA PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024185713	VA

General Provider Information

NPI Number	:	1043927387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GOLDA TROMPETA PMHNP

Provider Business Mailing Address
First Line	:	7931 MILL RIVER LN
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-9235
Country	:	US
Telephone Number	:	804-519-2823
Fax Number	:

Provider Business Practice Location Address
First Line	:	7931 MILL RIVER LN
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-9235
Country	:	US
Telephone Number	:	804-519-2823
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2022
Last Update Date	:	11/04/2022

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