Provider Demographics
NPI:1508018359
Name:KOHN, TRISHA L (NP)
Entity Type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:L
Last Name:KOHN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:TRISHA
Other - Middle Name:L
Other - Last Name:CHRISTIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:7322 W RAWSON AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8104
Mailing Address - Country:US
Mailing Address - Phone:414-433-9010
Mailing Address - Fax:414-433-9007
Practice Address - Street 1:7322 W RAWSON AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8104
Practice Address - Country:US
Practice Address - Phone:414-433-9010
Practice Address - Fax:414-433-9007
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI148013363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1508018359Medicaid