MEDICARE: DR. DENISE S TRUMBAUER DNP, APN, BC

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	363LA2200X	Adult Health Nurse Practitioner	APRN11009647	FL
2	363LA2200X	Adult Health Nurse Practitioner	26NJ00030600	NJ
3	363LA2200X	Adult Health Nurse Practitioner	SP003816C	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	067790	OTHER		PROVIDER NUMBER

General Provider Information

NPI Number	:	1477558351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE S TRUMBAUER DNP, APN, BC

Provider Business Mailing Address
First Line	:	106 ANITA DR
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-7522
Country	:	US
Telephone Number	:	609-926-8485
Fax Number	:	609-788-8111

Provider Business Practice Location Address
First Line	:	1156 PIEDMONT RD
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34293-4843
Country	:	US
Telephone Number	:	609-432-5417
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	03/08/2021

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