Provider Demographics
NPI:1033263942
Name:ARMSTRONG, TRENT E (CST, CFA)
Entity type:Individual
Prefix:
First Name:TRENT
Middle Name:E
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:CST, CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14231 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4318
Mailing Address - Country:US
Mailing Address - Phone:847-924-0343
Mailing Address - Fax:
Practice Address - Street 1:14231 N 11TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4318
Practice Address - Country:US
Practice Address - Phone:847-924-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL363062013OtherEIN