Provider Demographics
NPI:1164884789
Name:TRICHE, MICHELLE KAY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:KAY
Last Name:TRICHE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 FM 407
Mailing Address - Street 2:
Mailing Address - City:DOUBLE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3031
Mailing Address - Country:US
Mailing Address - Phone:972-966-1980
Mailing Address - Fax:
Practice Address - Street 1:1000 S. HERITAGE PARKWAY
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092
Practice Address - Country:US
Practice Address - Phone:903-891-0949
Practice Address - Fax:903-891-3378
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130633363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner