Individual
ROBERTA TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
111 S FRONT STREET, HARRISBURG, PA 17101-1020
(717) 782-5283
(717) 782-5192
Mailing address
118 WASHINGTON STREET, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
513983
PA
133V00000X
Registered Dietitian
Primary
DN000026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021062260001
—
PA
01
—
9068015
CIGNA
PA
Enumeration date
03/26/2008
Last updated
04/27/2010
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