Provider Demographics
NPI:1922381649
Name:TRUDGEN, GINGER (LM)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:
Last Name:TRUDGEN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2085 E LONGHORN PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-1252
Mailing Address - Country:US
Mailing Address - Phone:480-615-6979
Mailing Address - Fax:
Practice Address - Street 1:2085 E LONGHORN PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-1252
Practice Address - Country:US
Practice Address - Phone:480-615-6979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLM128176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife