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NPI Code Detail

MEDICARE: TRISHA A STUCKEY F.N.P

MEDICARE: TRISHA A STUCKEY F.N.P
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 Practitioner71002093AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467404418
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISHA A STUCKEY F.N.P
Provider Business Mailing Address
First Line : 900 TUTOR LN
Second Line : STE 102
City : EVANSVILLE
State : IN
Zip : 47715-7295
Country : US
Telephone Number : 812-477-7246
Fax Number : 812-477-7240
Provider Business Practice Location Address
First Line : 1101 PROFESSIONAL BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-8016
Country : US
Telephone Number : 812-477-7246
Fax Number : 812-422-2421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 01/27/2022

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Directions to “ TRISHA A STUCKEY F.N.P” Practice Location

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