Provider Demographics
NPI:1518917947
Name:ANDERSEN, TRISHA LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:LYNN
Last Name:ANDERSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:TRISHA
Other - Middle Name:L
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1215 DUFF AVE
Mailing Address - Street 2:PO BOX 3014
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4448
Mailing Address - Fax:515-239-4741
Practice Address - Street 1:1215 DUFF AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010
Practice Address - Country:US
Practice Address - Phone:515-239-4448
Practice Address - Fax:515-239-4741
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3683207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA3683OtherIOWA MEDICAL LICENSE
IA3683OtherIOWA MEDICAL LICENSE