Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Trent W Edstrom, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1558957811

Trent W Edstrom, NURSEPRACTITIONER is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Monogram Health Professional Services PC, a 27-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4901 W McDowell Rd Ste 110
Phoenix, AZ 85035-4160
Phone: (623) 849-9088
Fax: (623) 849-9065
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 233523 (AZ)

Record details

NPI number1558957811
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedDecember 21, 2020
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Monogram Health Professional Services Pc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Phoenix