Individual
TRINA GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 747-2100
Mailing address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024189548
VA
363LF0000X
Family Nurse Practitioner
1-162201
AL
363LF0000X
Family Nurse Practitioner
1471782
ID
363LF0000X
Family Nurse Practitioner
Primary
RN2367985
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024189548
LICENSE -CRNP
VA
01
—
2-041686
AL RN LICENSE
AL
01
—
927683
NY RN LICENSE
MA
01
—
RN2367985
RN MA LICENSE
MA
Enumeration date
03/04/2021
Last updated
11/04/2025
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