Hannah Lee Tripp, RDN. LDN

Individual provider Active NPI Registered Dietitian · Wilson, WY

NPI 1659840403 · NPPES record last updated Nov 21, 2018

Key facts

NPI
1659840403
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86086624 (WA)
Practice address
1440 N West St.
Wilson, WY 83014
Phone
(253) 381-3910
NPI assigned
Nov 21, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86086624WAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86086624 WA Yes

Addresses

Primary practice location

1440 N West St.
Wilson, WY 83014

Mailing address

PO Box 9577
Jackson, WY 83002-9577
Phone (253) 381-3910

Other providers in Wilson, WY

All providers in Wilson, WY · Registered Dietitian in Wyoming

Sources for this page

Verify at the official NPI Registry.