Provider Demographics
NPI:1679045942
Name:PREBLE, TRICIA R (MSN, RN, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:R
Last Name:PREBLE
Suffix:
Gender:F
Credentials:MSN, RN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:387 QUARRY ST STE 104
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1026
Mailing Address - Country:US
Mailing Address - Phone:508-679-8111
Mailing Address - Fax:508-673-0943
Practice Address - Street 1:387 QUARRY ST STE 104
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1026
Practice Address - Country:US
Practice Address - Phone:508-679-8111
Practice Address - Fax:508-673-0943
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2280445363LP0808X
MA2280445163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health