Fennern, Trisha J

Fennern, Trisha J is an individual health care provider with primary practice located at 1021 20Th Ave Sw Ste 113 , Minot ND 58701-6487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fennern, Trisha J can be contacted via phone (701) 837-1551.

Contact Information

Primary practice address
1021 20Th Ave Sw Ste 113 Minot ND 58701-6487
Fax: (701) 837-1540
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R30827 North Dakota

Profile Details

NPI number 1013220490
LBN Legal business name Fennern, Trisha J
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2010
Last updated Mar 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013220490 NPPES
North Dakota MEDICAID 84427

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