Provider Demographics
NPI:1104314301
Name:HOPE, TRENT IVAN
Entity type:Individual
Prefix:
First Name:TRENT
Middle Name:IVAN
Last Name:HOPE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S WASHINGTON ST STE 330
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4291
Mailing Address - Country:US
Mailing Address - Phone:703-528-8260
Mailing Address - Fax:703-528-8267
Practice Address - Street 1:700 S WASHINGTON ST STE 330
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4291
Practice Address - Country:US
Practice Address - Phone:703-528-8260
Practice Address - Fax:703-528-8267
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101272712207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine