Provider Demographics
NPI:1245027499
Name:TRUMBULL, RITA SENIE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:SENIE
Last Name:TRUMBULL
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18301 PELLISIER RD
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-8426
Mailing Address - Country:US
Mailing Address - Phone:661-300-0466
Mailing Address - Fax:
Practice Address - Street 1:18301 PELLISIER RD
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-8426
Practice Address - Country:US
Practice Address - Phone:661-300-0466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034804363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily