Provider Demographics
NPI:1730989807
Name:CROSSEN, TRISHA ANNE
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:ANNE
Last Name:CROSSEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 WINNACUNNET RD APT A
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2743
Mailing Address - Country:US
Mailing Address - Phone:603-205-9295
Mailing Address - Fax:
Practice Address - Street 1:392 WINNACUNNET RD APT A
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2743
Practice Address - Country:US
Practice Address - Phone:603-205-9295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHI0346251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health