Provider Demographics
NPI:1730896846
Name:ROSS, TRISHA KAY
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:KAY
Last Name:ROSS
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 1:1069 TOWNSHIP ROAD 276 N
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8935
Mailing Address - Country:US
Mailing Address - Phone:304-633-2629
Mailing Address - Fax:
Practice Address - Street 1:1069 TOWNSHIP ROAD 276 N
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8935
Practice Address - Country:US
Practice Address - Phone:304-633-2629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker