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NPI Code Detail

MEDICARE: TRICIA MCDERMOTT ARNP

MEDICARE: TRICIA MCDERMOTT ARNP
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 PractitionerA155978IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1041439390OTHERILNURSING LICENSE
2132018OTHERIANURSING LICENSE

General Provider Information

NPI Number : 1740836899
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRICIA MCDERMOTT ARNP
Provider Business Mailing Address
First Line : 500 W RIVER DR
Second Line :
City : DAVENPORT
State : IA
Zip : 52801-1014
Country : US
Telephone Number : 563-336-3000
Fax Number : 563-336-3125
Provider Business Practice Location Address
First Line : 500 W RIVER DR
Second Line :
City : DAVENPORT
State : IA
Zip : 52801-1014
Country : US
Telephone Number : 563-336-3000
Fax Number : 563-336-3125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2019
Last Update Date : 06/09/2026

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Directions to “ TRICIA MCDERMOTT ARNP” Practice Location

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