Provider Demographics
NPI:1699573147
Name:TRICOCHE-MELTON, VICTORIA NICOLE
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:NICOLE
Last Name:TRICOCHE-MELTON
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 1:138 LAWRENCE ST NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-4042
Mailing Address - Country:US
Mailing Address - Phone:646-326-4822
Mailing Address - Fax:
Practice Address - Street 1:138 LAWRENCE ST NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-4042
Practice Address - Country:US
Practice Address - Phone:646-326-4822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula