Healthcare Provider Details

I. General information

NPI: 1124514534
Provider Name (Legal Business Name): STEVEN CRAIG TRISKER DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6009 NIGHT HERON CT
GREENACRES FL
33415-1529
US

IV. Provider business mailing address

6009 NIGHT HERON CT
GREENACRES FL
33415-1529
US

V. Phone/Fax

Practice location:
  • Phone: 908-420-9808
  • Fax: 561-461-8786
Mailing address:
  • Phone: 908-420-9808
  • Fax: 561-461-8786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11003681
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11003681
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00817100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: