Provider Demographics
NPI:1174016034
Name:TROUT, MAIJA ANNELI RANNIKKO (MS)
Entity Type:Individual
Prefix:MRS
First Name:MAIJA
Middle Name:ANNELI RANNIKKO
Last Name:TROUT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MAIJA
Other - Middle Name:ANNELI
Other - Last Name:RANNIKKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:PO BOX 5539
Mailing Address - Street 2:2755 COLONIAL DRIVE
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2755 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4926
Practice Address - Country:US
Practice Address - Phone:406-444-7530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS