Individual
MRS. BRENDA LEE TRUMBULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
8549 S 200 E, COLUMBIA CITY, IN 46725-7913
(260) 417-2602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28099913A
IN
Other
Enumeration date
02/28/2023
Last updated
09/26/2023
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