MS. AMBER JANE TRUDEL NP NPI 1467495614

NPI Information

NPI: 1467495614
Provider Name: MS. AMBER JANE TRUDEL, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
150 S PINE ISLAND RD STE 540
PLANTATION, FL
ZIP 33324
Phone: (508) 341-1942
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MS. Amber Jane Trudel, NP is an adult health nurse practitioner in Plantation, FL. MS. Amber Jane Trudel, NP NPI is 1467495614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 S PINE ISLAND RD STE 540
PLANTATION, FL
ZIP 33324-667
Phone: (508) 341-1942
Fax: (800) 883-4272

The NPI 1467495614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 3/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	APRN9415703	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP3468	OTHER	MASSACHUSETTS	BLUE SHIELD
2	9778446	MEDICAID	MASSACHUSETTS
3	49540	OTHER	RHODE ISLAND	BLUE SHIELD
4	M16425	OTHER		BLUE SHIELD
5	410937	OTHER	RHODE ISLAND	BLUE CHIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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