Doctor Name: | MRS. SHARL ANN TRUSSELL |
NPI Number: | 1043371537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN084787 |
Business Practice Address: | 1212 E Union St Vienna, GA - 310927545 |
Business Phone Number: | 2292688865 |
Business Fax Number: | 2292688864 |
Mailing Address: | 1212 E Union St, VIENNA |
State: | GA |
Postal Code: | 310927545 |
Phone Number: | 2292688865 |
Fax Number: | 2292688864 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN084787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |