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Tricia M Nechodom

Female

Medical Specialty

Audiologist

Professional ID

NPI: 1902197411
PECOS ID: 6800046145
Enrollment ID: I20121023000776
Credential(MD, DO, DPM):
Medical School:
Medical School Graduation Year: 2012

Hospital Service

Hospital CCN1: 350006
Business Name (LBN)1: Trinity Hospitals

Medical Practices

Organization Name: Trinity Health
Group Practice ID assigned by PECOS: 7911816020
Number of Group Practice member: 293

Location

Address1: 1321 W Dakota Pkwy
Address2:
City: Williston
State: North Dakota
Zip Code: 58801
Phone Number:

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):