Provider Demographics
NPI:1083994537
Name:TRIPP, ERICA M (DOULA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:M
Last Name:TRIPP
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 ALBEE RD
Mailing Address - Street 2:
Mailing Address - City:UXBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01569-1912
Mailing Address - Country:US
Mailing Address - Phone:774-266-1384
Mailing Address - Fax:
Practice Address - Street 1:94 ALBEE RD
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-1912
Practice Address - Country:US
Practice Address - Phone:774-266-1384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula