Individual
TRENT LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
807 E BROADWAY ST, BRUNSWICK, MO 65236-1408
(660) 548-2012
(660) 548-2014
Mailing address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695
(660) 542-0363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016003718
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420032761
—
MO
Enumeration date
06/03/2016
Last updated
12/05/2024
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