Adrienne Tripp, COTA
Individual provider Active NPI Health Educator · Renovo, PA
NPI 1669730883 · NPPES record last updated Apr 25, 2012
Key facts
- NPI
- 1669730883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- License
- OP007212 (PA)
- Practice address
- 208 10TH St
Renovo, PA 17764-1117 - Phone
- (570) 484-1361
- NPI assigned
- Apr 25, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OP007212 | PA | MD | Health Educator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | OP007212 | PA | Yes |
Addresses
Primary practice location
208 10TH St
Renovo, PA 17764-1117
Mailing address
208 10TH Street
Renovo, PA 17764
Other providers in Renovo, PA
- Renovo Pharmacy Inc.
- Robert Louis Stehman Jr.
- Brooke Stover
- James E. Sweetland
- Andrea Rose Tarantella
- Western Clinton County Community Services
All providers in Renovo, PA · Health Educator in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.