Tricia Anne Perrine, RN
Individual provider Active NPI Registered Nurse · Sullivan, WI
NPI 1104407295 · NPPES record last updated Apr 20, 2021
Key facts
- NPI
- 1104407295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 312688 (WI)
- Practice address
- N4659 Indian Point Rd
Sullivan, WI 53178-9716 - Phone
- (414) 588-1142
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312688 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 312688 | WI | Yes |
Addresses
Primary practice location
N4659 Indian Point Rd
Sullivan, WI 53178-9716
Mailing address
N4659 Indian Point Rd
Sullivan, WI 53178-9716
Phone (414) 588-1142
Other providers in Sullivan, WI
- Allison Marie Fanelli
- Connor David Keating
- Leah Kick
- Kathern Melissa McHugh
- Colleen Ann Murray
- Jennifer Mary Petersen
- McKinzie Marie Salomaki
- Beverly A Stiemke
- Sullivan EMS LTD
All providers in Sullivan, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.