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NPI Code Detail

MEDICARE: CATHERINE TRUMBLE

MEDICARE: CATHERINE TRUMBLE
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
1174400000XSpecialist2863LA

General Provider Information

NPI Number : 1881829638
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE TRUMBLE
Provider Business Mailing Address
First Line : 817 ROSEDALE DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-1739
Country : US
Telephone Number : 504-488-7554
Fax Number :
Provider Business Practice Location Address
First Line : 817 ROSEDALE DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70124-1739
Country : US
Telephone Number : 504-488-7554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2009
Last Update Date : 05/22/2009

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Directions to “ CATHERINE TRUMBLE ” Practice Location

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