Provider Demographics
NPI:1932079423
Name:TRUJILLO, NORMA LIZETTE
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:LIZETTE
Last Name:TRUJILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 PRIMROSE DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76706-3679
Mailing Address - Country:US
Mailing Address - Phone:254-358-5969
Mailing Address - Fax:
Practice Address - Street 1:1115 PRIMROSE DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76706-3679
Practice Address - Country:US
Practice Address - Phone:254-358-5969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332S00000X, 261QA0600X, 333300000X, 332BC3200X, 171400000X, 171WH0202X, 373H00000X, 2255A2300X, 332U00000X, 332B00000X, 171WV0202X
TX171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No333300000XSuppliersEmergency Response System Companies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No171400000XOther Service ProvidersHealth & Wellness Coach
No171WH0202XOther Service ProvidersContractorHome Modifications
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No332U00000XSuppliersHome Delivered Meals
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WV0202XOther Service ProvidersContractorVehicle Modifications