Individual
MIRANDA G TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 4TH ST NW, CHARLOTTESVILLE, VA 22903-4593
(434) 984-6220
(434) 984-5517
Mailing address
233 4TH ST NW, CHARLOTTESVILLE, VA 22903-4593
(434) 984-6220
(434) 984-5517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164342
VA
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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