Trotter, Domonique Desiree'

Trotter, Domonique Desiree' is an individual health care provider with primary practice located at 19455 Deerfield Avenue, Suite 204 , Leesburg VA 20176-8102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Trotter, Domonique Desiree' can be contacted via phone (703) 858-1500.

Contact Information

Primary practice address
19455 Deerfield Avenue, Suite 204 Leesburg VA 20176-8102
Phone: (703) 858-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024185930 Virginia

Profile Details

NPI number 1992374433
LBN Legal business name Trotter, Domonique Desiree'
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2021
Last updated Feb 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992374433 NPPES
Virginia MEDICAID 1992374433

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