Provider Demographics
NPI:1124021175
Name:TRIPPI, DANA L (DO)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:TRIPPI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1569
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89125-1569
Mailing Address - Country:US
Mailing Address - Phone:702-671-6845
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:3100 N TENAYA WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0436
Practice Address - Country:US
Practice Address - Phone:702-671-6845
Practice Address - Fax:702-671-6883
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV905207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H02211Medicare UPIN
NV38996Medicare PIN
NVV38996Medicare PIN