Provider Demographics
NPI:1194772764
Name:TROMBLEY, BARBARA JEAN (RNC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:TROMBLEY
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3958 N ACADEMY BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5919
Mailing Address - Country:US
Mailing Address - Phone:719-573-8880
Mailing Address - Fax:
Practice Address - Street 1:3958 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5919
Practice Address - Country:US
Practice Address - Phone:719-573-8880
Practice Address - Fax:719-573-8885
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38413363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07384134Medicaid