Provider Demographics
NPI:1699798967
Name:TRENT, JANETTE E (NP)
Entity type:Individual
Prefix:
First Name:JANETTE
Middle Name:E
Last Name:TRENT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JANETTE
Other - Middle Name:E
Other - Last Name:RODDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:300 PLAZA DR
Mailing Address - Street 2:SUITE 275
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2369
Mailing Address - Country:US
Mailing Address - Phone:317-523-9191
Mailing Address - Fax:317-776-1999
Practice Address - Street 1:300 PLAZA DR
Practice Address - Street 2:SUITE 275
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2369
Practice Address - Country:US
Practice Address - Phone:317-523-9191
Practice Address - Fax:317-776-1999
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002145A363LW0102X
AZ223496363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
INTB5580Medicare ID - Type UnspecifiedPROVIDER NUMBER
INP58047Medicare UPIN