Provider Demographics
NPI:1376937813
Name:TRISKA, TRINA (RN)
Entity type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:TRISKA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9251 DESERT WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5719
Mailing Address - Country:US
Mailing Address - Phone:720-344-1122
Mailing Address - Fax:
Practice Address - Street 1:9251 DESERT WILLOW RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-5719
Practice Address - Country:US
Practice Address - Phone:720-344-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0172847163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse