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NPI Code Detail

MEDICARE: MS. TRISHA LYNN WHITACRE FNP-C

MEDICARE: MS. TRISHA LYNN WHITACRE FNP-C
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0033125OH

General Provider Information

NPI Number : 1396441291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRISHA LYNN WHITACRE FNP-C
Provider Business Mailing Address
First Line : 6909 GOOD SAMARITAN DR STE B
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-5209
Country : US
Telephone Number : 513-588-3000
Fax Number : 513-549-6912
Provider Business Practice Location Address
First Line : 6909 GOOD SAMARITAN DR STE B
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-5209
Country : US
Telephone Number : 513-588-3000
Fax Number : 513-549-6912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 01/09/2026

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