Provider Demographics
NPI:1053395301
Name:TRUMP, VALERIE A (WHNP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:TRUMP
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:A
Other - Last Name:GABEL, HOVLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 800022
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-0022
Mailing Address - Country:US
Mailing Address - Phone:800-953-0104
Mailing Address - Fax:303-765-6670
Practice Address - Street 1:6071 E WOODMEN RD STE 405
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2614
Practice Address - Country:US
Practice Address - Phone:719-571-4500
Practice Address - Fax:719-571-4501
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-39921163W00000X
AL1-075415163W00000X
WARN00151543163W00000X
WAAP30007263363LW0102X
COAPN.0993751-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000168258Medicaid