Provider Demographics
NPI:1831883370
Name:TRENT, MAKAYLAH B (NP)
Entity type:Individual
Prefix:
First Name:MAKAYLAH
Middle Name:B
Last Name:TRENT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MAKAYLAH
Other - Middle Name:B
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 638706
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8706
Mailing Address - Country:US
Mailing Address - Phone:812-450-6815
Mailing Address - Fax:812-450-6822
Practice Address - Street 1:1413 N ELM ST STE 204
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2773
Practice Address - Country:US
Practice Address - Phone:270-830-9973
Practice Address - Fax:270-830-9975
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4007109363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner