Provider Demographics
NPI:1528602190
Name:TROCHA, GAYLINA TRUE (RN)
Entity Type:Individual
Prefix:
First Name:GAYLINA
Middle Name:TRUE
Last Name:TROCHA
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 1:491 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-4798
Mailing Address - Country:US
Mailing Address - Phone:734-674-2880
Mailing Address - Fax:
Practice Address - Street 1:491 HIGH ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-4798
Practice Address - Country:US
Practice Address - Phone:716-478-4565
Practice Address - Fax:716-472-4523
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY708014163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool