Provider Demographics
NPI:1457084998
Name:DICKENSON, TRISHA NOEL (RN)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:NOEL
Last Name:DICKENSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 FAY RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-8768
Mailing Address - Country:US
Mailing Address - Phone:513-265-2814
Mailing Address - Fax:
Practice Address - Street 1:1529 FAY RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-8768
Practice Address - Country:US
Practice Address - Phone:513-265-2814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN402488163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse