Provider Demographics
NPI:1992314298
Name:DUNSMORE, TRINA
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:DUNSMORE
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 1:625 DARLINGTON SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:FISHER
Mailing Address - State:WV
Mailing Address - Zip Code:26818-4246
Mailing Address - Country:US
Mailing Address - Phone:304-538-4313
Mailing Address - Fax:
Practice Address - Street 1:431 DARLINGTON SCHOOL RD
Practice Address - Street 2:
Practice Address - City:FISHER
Practice Address - State:WV
Practice Address - Zip Code:26818-4032
Practice Address - Country:US
Practice Address - Phone:304-538-4304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant