Provider Demographics
NPI:1407344476
Name:TROUT, ADELLE (MSN, APRN)
Entity Type:Individual
Prefix:
First Name:ADELLE
Middle Name:
Last Name:TROUT
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:
Other - First Name:ADELLE
Other - Middle Name:
Other - Last Name:GRANT-MCAULEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3521 SILVERSIDE RD., QUILLEN BUILDING SUITE 2J
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810
Mailing Address - Country:US
Mailing Address - Phone:302-543-5454
Mailing Address - Fax:
Practice Address - Street 1:3521 SILVERSIDE RD., QUILLEN BUILDING SUITE 2J
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810
Practice Address - Country:US
Practice Address - Phone:302-543-5454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001141363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily