Provider Demographics
NPI:1447894001
Name:TRIM, PATRICIA PALMER
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:PALMER
Last Name:TRIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 SPARROWRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037-7714
Mailing Address - Country:US
Mailing Address - Phone:318-349-6690
Mailing Address - Fax:
Practice Address - Street 1:1910 SPARROWRIDGE CIR
Practice Address - Street 2:
Practice Address - City:HAUGHTON
Practice Address - State:LA
Practice Address - Zip Code:71037-7714
Practice Address - Country:US
Practice Address - Phone:318-349-6690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator