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Individual
TRICIA D ZOSS
Active
Individual
TRICIA D ZOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008315A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001124902
ANTHEM PTAN
IN
01
—
1102524525
ANTHEM PTAN
IN
05
—
300019668
—
IN
01
—
P02381986
RAILROAD PTAN
IN
Enumeration date
09/10/2018
Last updated
11/05/2024
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