MEDICARE: CHRISTINE JANE TRUMAN M.D.

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	2084P0800X	Psychiatry Physician	0101239492	VA

General Provider Information

NPI Number	:	1104905769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE JANE TRUMAN M.D.

Provider Business Mailing Address
First Line	:	819 W 21ST ST STE 101
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23517-1539
Country	:	US
Telephone Number	:	757-828-3816
Fax Number	:	757-335-6819

Provider Business Practice Location Address
First Line	:	819 W 21ST ST STE 101
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23517-1539
Country	:	US
Telephone Number	:	757-828-3816
Fax Number	:	757-335-6819

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	03/10/2023

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