Provider Demographics
NPI:1730115841
Name:TROSKEY, PATRICIA J (NP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:J
Last Name:TROSKEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6002
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58206-6002
Mailing Address - Country:US
Mailing Address - Phone:701-780-5000
Mailing Address - Fax:218-683-2595
Practice Address - Street 1:1000 SOUTH COLUMBIA ROAD
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58206-6002
Practice Address - Country:US
Practice Address - Phone:701-780-5000
Practice Address - Fax:218-683-2595
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 095133-7363L00000X
MNR95133-7363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN196676100Medicaid
MN900S0TROtherMNBS#
MN19769Medicaid
MN24801OtherNDBS #
MNHP48048OtherHEALTHPARTNERS #
MNP00461970OtherMEDICARE RAILROAD
MN0407104OtherMEDICA #
MNDA9021042140OtherPREFERRED ONE #
MN2201942OtherAMERICA'S PPO/ARAZ #
MN137079OtherUCARE #
MN2201942OtherLHS/BANNERHEALTH #
MN196676100Medicaid
MNHP48048OtherHEALTHPARTNERS #
MNQ30731Medicare UPIN
MN500002816Medicare ID - Type UnspecifiedMN MEDICARE #