Provider Demographics
NPI:1285032086
Name:TRENFIELD, DEBORAH
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:TRENFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 NW 210TH ST
Mailing Address - Street 2:#103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-7022
Mailing Address - Country:US
Mailing Address - Phone:786-201-1571
Mailing Address - Fax:
Practice Address - Street 1:635 NW 210TH ST
Practice Address - Street 2:#103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-7022
Practice Address - Country:US
Practice Address - Phone:786-201-1571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9201843363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily