Provider Demographics
NPI:1831987379
Name:STEVE TRISKER DNP PA
Entity type:Organization
Organization Name:STEVE TRISKER DNP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRISKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-420-9808
Mailing Address - Street 1:3546 JOSHUA TREE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6169
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4151 LAKE WORTH RD
Practice Address - Street 2:5866
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33466
Practice Address - Country:US
Practice Address - Phone:908-420-9808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty