Provider Demographics
NPI:1265239941
Name:DUBOIS, TRISHA LYNN (RN)
Entity type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:LYNN
Last Name:DUBOIS
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 1:381 CENTRE RD
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:ME
Mailing Address - Zip Code:04280-3203
Mailing Address - Country:US
Mailing Address - Phone:207-592-9652
Mailing Address - Fax:
Practice Address - Street 1:381 CENTRE RD
Practice Address - Street 2:
Practice Address - City:WALES
Practice Address - State:ME
Practice Address - Zip Code:04280-3203
Practice Address - Country:US
Practice Address - Phone:207-592-9652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN52453163WX1500X, 163WH0200X, 163WW0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care