Provider Demographics
NPI:1659245520
Name:SMITH, TRISHA LOUISE (RN)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:LOUISE
Last Name:SMITH
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 1:817A ARGYLE AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67467-1621
Mailing Address - Country:US
Mailing Address - Phone:785-392-2822
Mailing Address - Fax:785-392-3640
Practice Address - Street 1:817A ARGYLE AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:KS
Practice Address - Zip Code:67467-1621
Practice Address - Country:US
Practice Address - Phone:785-392-2822
Practice Address - Fax:785-392-3640
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-107788-101163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty