Individual
MS. MARILYN S. TRUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1965 S FREMONT AVE, SUITE 270, SPRINGFIELD, MO 65804-2201
(417) 820-3890
(417) 820-3567
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
094604
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425210515
—
MO
01
—
431560263
TRICARE
MO
01
—
P00428675
RAILROAD MEDICARE
MO
Enumeration date
06/06/2006
Last updated
07/11/2008
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