Provider Demographics
NPI:1780889535
Name:DASS, TRICIA FAYE (MSN, NP)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:FAYE
Last Name:DASS
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 LINCOLN ROAD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N8W 2P9
Mailing Address - Country:CA
Mailing Address - Phone:519-253-4453
Mailing Address - Fax:
Practice Address - Street 1:3601 WEST THIRTEEN MILE ROAD
Practice Address - Street 2:EAST TOWER LOWER LEVEL
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6769
Practice Address - Country:US
Practice Address - Phone:248-989-5354
Practice Address - Fax:248-898-5070
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704229759363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care