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NPI Code Detail

MEDICARE: TRISHA A WASHBURN

MEDICARE: TRISHA A WASHBURN
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
1106S00000XBehavior TechnicianIN

General Provider Information

NPI Number : 1124981501
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISHA A WASHBURN
Provider Business Mailing Address
First Line : 4515 N LAFAYETTE ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47805-2126
Country : US
Telephone Number : 812-531-6984
Fax Number :
Provider Business Practice Location Address
First Line : 1341 OHIO ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47807-3940
Country : US
Telephone Number : 812-288-0974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ TRISHA A WASHBURN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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