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Individual

BRODY ALLEN TRUMBULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(987) 887-4368
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026050
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15734540
CAQH
Enumeration date
08/22/2022
Last updated
03/20/2024
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