Healthcare Provider Details

I. General information

NPI: 1730989807
Provider Name (Legal Business Name): TRISHA ANNE CROSSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 WINNACUNNET RD APT A
HAMPTON NH
03842-2743
US

IV. Provider business mailing address

392 WINNACUNNET RD APT A
HAMPTON NH
03842-2743
US

V. Phone/Fax

Practice location:
  • Phone: 603-205-9295
  • Fax:
Mailing address:
  • Phone: 603-205-9295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberI0346
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: