Provider Demographics
NPI:1144768946
Name:DAVIS, TRISHA K (CNP)
Entity Type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:K
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1997
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:3909 WOODLEY RD
Practice Address - Street 2:SUITE #100
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1169
Practice Address - Country:US
Practice Address - Phone:419-291-3900
Practice Address - Fax:419-479-6055
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHARN.CNP.020394363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner