Individual
VICTORIA TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7095 EPPING DR, CANTON, MI 48187-2724
(734) 474-6031
Mailing address
7095 EPPING DR, CANTON, MI 48187-2724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704356428
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020668
OH
Other
Enumeration date
07/11/2021
Last updated
11/16/2022
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