Provider Demographics
NPI:1881308633
Name:TRUSTY, EMMA KAYE
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:KAYE
Last Name:TRUSTY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:EMMA
Other - Middle Name:KAYE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:960 S PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:960 S PROSPECT ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6225
Practice Address - Country:US
Practice Address - Phone:740-383-2776
Practice Address - Fax:740-383-2978
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.477243163W00000X
OHAPRN.CNP.0034867363LW0102X
OHAPRN.CNM.0019587367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health