Provider Demographics
NPI:1386851970
Name:HASTINGS, TRUDY L A (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:TRUDY
Middle Name:L A
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1431
Mailing Address - Country:US
Mailing Address - Phone:302-653-8585
Mailing Address - Fax:302-653-3149
Practice Address - Street 1:365 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1010
Practice Address - Country:US
Practice Address - Phone:302-653-3145
Practice Address - Fax:302-653-3146
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0013476163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool