Provider Demographics
NPI:1043100696
Name:TRENT, DEBORAH
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:TRENT
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8549 WV ROUTE 18 S
Mailing Address - Street 2:
Mailing Address - City:NEW MILTON
Mailing Address - State:WV
Mailing Address - Zip Code:26411-6044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8549 WV ROUTE 18 S
Practice Address - Street 2:
Practice Address - City:NEW MILTON
Practice Address - State:WV
Practice Address - Zip Code:26411-6044
Practice Address - Country:US
Practice Address - Phone:304-405-2048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide