Provider Demographics
NPI:1962363846
Name:GILBERT, TRISHA LYNN (LPN)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:LYNN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 GRAY FOX CT
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-7553
Mailing Address - Country:US
Mailing Address - Phone:614-565-4648
Mailing Address - Fax:
Practice Address - Street 1:305 GRAY FOX CT
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43031-7553
Practice Address - Country:US
Practice Address - Phone:614-565-4648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151564164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty