Individual
TRISHA COMMODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3433 S COLONY AVE, UNION GROVE, WI 53182-9673
(262) 878-2893
(262) 878-4056
Mailing address
3433 S COLONY AVE, UNION GROVE, WI 53182-9673
(262) 878-2893
(262) 878-4056
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
151021-30
WI
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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