Individual
TRISHA MENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4887
(651) 254-1603
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1664843
MN
363L00000X
Nurse Practitioner
Primary
2608
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-04171
MEDICA
MN
01
—
2010008622
ANCC
MN
01
—
5008770790
BLUE CROSS BLUE SHIELD
MI
01
—
6982979
EVERCARE
MN
01
—
HP49454
HEALTHPARTNERS
MN
Enumeration date
07/30/2006
Last updated
01/31/2022
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