Healthcare Provider Details

I. General information

NPI: 1023782356
Provider Name (Legal Business Name): TRISHA LOEHRKE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 ALGOMA BLVD
OSHKOSH WI
54901-3534
US

IV. Provider business mailing address

650 WITZEL AVE
OSHKOSH WI
54902-5777
US

V. Phone/Fax

Practice location:
  • Phone: 920-424-2425
  • Fax:
Mailing address:
  • Phone: 920-424-2425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10872
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: