MEDICARE: TRISHA BERBICK-STEWART PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11024424	FL

General Provider Information

NPI Number	:	1912608522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA BERBICK-STEWART PMHNP

Provider Business Mailing Address
First Line	:	7540 NW 5TH ST STE 2
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1615
Country	:	US
Telephone Number	:	954-907-3456
Fax Number	:	954-906-4294

Provider Business Practice Location Address
First Line	:	7540 NW 5TH ST STE 2
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1615
Country	:	US
Telephone Number	:	954-907-3456
Fax Number	:	954-906-4294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	04/18/2025

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