MEDICARE: TRISHA ANN HAVEL

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
1	172V00000X	Community Health Worker		NE

General Provider Information

NPI Number	:	1629883962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA ANN HAVEL

Provider Business Mailing Address
First Line	:	8630 LEXINGTON AVE APT 329
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68505-3666
Country	:	US
Telephone Number	:	402-850-3210
Fax Number	:

Provider Business Practice Location Address
First Line	:	8630 LEXINGTON AVE APT 329
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68505-3666
Country	:	US
Telephone Number	:	402-850-3210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	09/29/2025

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Directions to “ TRISHA ANN HAVEL ” Practice Location

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