Provider Demographics
NPI:1104563717
Name:ALLOWAY, TRICIA LYN
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:LYN
Last Name:ALLOWAY
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:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:JACKSON CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:45334-0266
Mailing Address - Country:US
Mailing Address - Phone:937-538-6911
Mailing Address - Fax:
Practice Address - Street 1:224 ROBB ST APT A
Practice Address - Street 2:
Practice Address - City:JACKSON CENTER
Practice Address - State:OH
Practice Address - Zip Code:45334-5096
Practice Address - Country:US
Practice Address - Phone:937-538-6911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker