Individual
CAITLIN BOYLE TRUMBORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2924 BROOK RD, CHILDREN'S HOSPITAL, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210
Mailing address
2924 BROOK RD, CHILDREN'S HOSPITAL CREDENTIALING DEPT, RICHMOND, VA 23220-1215
(804) 321-7474
(804) 228-5210
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000120594
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004909976
—
VA
Enumeration date
01/20/2012
Last updated
01/20/2012
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