MEDICARE: VALERIE A TRUMP WHNP

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	163W00000X	Registered Nurse	RN-39921	HI
2	163W00000X	Registered Nurse	1-075415	AL
3	163W00000X	Registered Nurse	RN00151543	WA
4	363LW0102X	Women's Health Nurse Practitioner	AP30007263	WA
5	363LW0102X	Women's Health Nurse Practitioner	APN.0993751-NP	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053395301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE A TRUMP WHNP

Provider Business Mailing Address
First Line	:	PO BOX 800022
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-0022
Country	:	US
Telephone Number	:	800-953-0104
Fax Number	:	303-765-6670

Provider Business Practice Location Address
First Line	:	6071 E WOODMEN RD STE 405
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2614
Country	:	US
Telephone Number	:	719-571-4500
Fax Number	:	719-571-4501

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	01/19/2022

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Directions to “ VALERIE A TRUMP WHNP” Practice Location

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