Provider Demographics
NPI:1184322885
Name:TRUSTY, PATRICIA ANNE LEANO
Entity type:Individual
Prefix:
First Name:PATRICIA ANNE
Middle Name:LEANO
Last Name:TRUSTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-1759
Mailing Address - Country:US
Mailing Address - Phone:818-817-1596
Mailing Address - Fax:
Practice Address - Street 1:12221 S 28TH AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-1759
Practice Address - Country:US
Practice Address - Phone:818-817-1596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula