Individual
TRISHA ELIZABETH MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Mailing address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
L087413
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487967
—
IA
01
—
05286
WELLMARK BCBS OF IOWA
IA
01
—
P00282085
RAILROAD MEDICARE
—
Enumeration date
08/30/2006
Last updated
02/11/2021
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