Provider Demographics
NPI:1033652045
Name:VIGNA, TRISHA (APRN)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:VIGNA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:37 MEDICAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65655
Mailing Address - Country:US
Mailing Address - Phone:417-679-4613
Mailing Address - Fax:417-679-2211
Practice Address - Street 1:37 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65655-8133
Practice Address - Country:US
Practice Address - Phone:417-679-4613
Practice Address - Fax:417-679-2211
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018029753363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily