Provider Demographics
NPI:1437470416
Name:TRUSTY, LAURA S (RN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:S
Last Name:TRUSTY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-2257
Mailing Address - Country:US
Mailing Address - Phone:303-532-3276
Mailing Address - Fax:
Practice Address - Street 1:1628 HARVARD ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-2257
Practice Address - Country:US
Practice Address - Phone:303-532-3276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO108090163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine