Provider Demographics
NPI:1013774595
Name:TROMBLEY, ROSE ELLEN (LM, CPM)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:ELLEN
Last Name:TROMBLEY
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:MISS
Other - First Name:ROSE
Other - Middle Name:ELLEN
Other - Last Name:SCHUCHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5180 NORTHRIDGE RD
Mailing Address - Street 2:UNIT 305
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238
Mailing Address - Country:US
Mailing Address - Phone:941-706-5637
Mailing Address - Fax:
Practice Address - Street 1:5180 NORTHRIDGE RD
Practice Address - Street 2:UNIT 305
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238
Practice Address - Country:US
Practice Address - Phone:941-706-5637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW447176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty