Individual
CONSTANCE JEAN TRUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
1200 S DETROIT AVE, TOLEDO, OH 43614-5903
(419) 213-7525
Mailing address
1200 S DETROIT AVE, TOLEDO, OH 43614-5903
(419) 213-7525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704211346
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704211346
MI
Other
Enumeration date
10/04/2006
Last updated
12/02/2019
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