Provider Demographics
NPI:1760859433
Name:TRENT, LANA BETHANIE (APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:BETHANIE
Last Name:TRENT
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:BETHANIE
Other - Last Name:SPEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, NP-C
Mailing Address - Street 1:8474 COUNTY ROAD 107
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-8433
Mailing Address - Country:US
Mailing Address - Phone:304-634-4366
Mailing Address - Fax:340-691-1477
Practice Address - Street 1:1600 MEDICAL CENTER DR
Practice Address - Street 2:SUITE B500
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3656
Practice Address - Country:US
Practice Address - Phone:304-691-1787
Practice Address - Fax:340-691-8711
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN66887363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily