Provider Demographics
NPI:1114133428
Name:TRAPP, GERALDINE PATRICIA (RN, APRN)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:PATRICIA
Last Name:TRAPP
Suffix:
Gender:F
Credentials:RN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 HERITAGE XING
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10919-3273
Mailing Address - Country:US
Mailing Address - Phone:845-361-4411
Mailing Address - Fax:845-361-4411
Practice Address - Street 1:13 HERITAGE XING
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:NY
Practice Address - Zip Code:10919-3273
Practice Address - Country:US
Practice Address - Phone:845-361-4411
Practice Address - Fax:845-361-4411
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY472955-1163W00000X
NYF303328-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner