Provider Demographics
NPI:1891722963
Name:TROTMAN, LINDA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:TROTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 HORACE AVE.
Mailing Address - Street 2:
Mailing Address - City:VA. BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-2606
Mailing Address - Country:US
Mailing Address - Phone:757-671-6370
Mailing Address - Fax:757-671-6373
Practice Address - Street 1:308 HORACE AVE.
Practice Address - Street 2:
Practice Address - City:VA. BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-2606
Practice Address - Country:US
Practice Address - Phone:757-671-6370
Practice Address - Fax:757-671-6373
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101039148207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005604010Medicaid
VA005604010Medicaid