Provider Demographics
NPI:1912323429
Name:ALTHOUSE, TRISHA
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:ALTHOUSE
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 1:47 WILKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2846
Mailing Address - Country:US
Mailing Address - Phone:267-884-5728
Mailing Address - Fax:
Practice Address - Street 1:607 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2935
Practice Address - Country:US
Practice Address - Phone:215-362-4950
Practice Address - Fax:215-362-4955
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN292190164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse