Basic Information
| Provider Information | |||||||||
| NPI: | 1730115841 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TROSKEY | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6002 | ||||||||
| Address2: | |||||||||
| City: | GRAND FORKS | ||||||||
| State: | ND | ||||||||
| PostalCode: | 582066002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7017805000 | ||||||||
| FaxNumber: | 2186832595 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 SOUTH COLUMBIA ROAD | ||||||||
| Address2: | |||||||||
| City: | GRAND FORKS | ||||||||
| State: | ND | ||||||||
| PostalCode: | 582066002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7017805000 | ||||||||
| FaxNumber: | 2186832595 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2006 | ||||||||
| LastUpdateDate: | 10/01/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | R 095133-7 | MN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363L00000X | R95133-7 | MN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 196676100 | 05 | MN | MEDICAID | 900S0TR | 01 | MN | MNBS# | OTHER | 19769 | 05 | MN | MEDICAID | 24801 | 01 | MN | NDBS # | OTHER | HP48048 | 01 | MN | HEALTHPARTNERS # | OTHER | P00461970 | 01 | MN | MEDICARE RAILROAD | OTHER | 0407104 | 01 | MN | MEDICA # | OTHER | DA9021042140 | 01 | MN | PREFERRED ONE # | OTHER | 2201942 | 01 | MN | AMERICA'S PPO/ARAZ # | OTHER | 137079 | 01 | MN | UCARE # | OTHER | 2201942 | 01 | MN | LHS/BANNERHEALTH # | OTHER |