Provider Demographics
NPI:1518729540
Name:HOPLIGHT, TRICIA
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:HOPLIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6586 S BUGBY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44068-1803
Mailing Address - Country:US
Mailing Address - Phone:440-228-8688
Mailing Address - Fax:
Practice Address - Street 1:6586 S BUGBY RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44068-1803
Practice Address - Country:US
Practice Address - Phone:440-228-8688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health Worker