Provider Demographics
NPI:1407115975
Name:TRIPP KRAJNIK, ANITA ELIZABETH (ND)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:ELIZABETH
Last Name:TRIPP KRAJNIK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3703 NORMANDY RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5246
Mailing Address - Country:US
Mailing Address - Phone:216-322-7113
Mailing Address - Fax:216-751-6408
Practice Address - Street 1:3703 NORMANDY RD
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44120-5246
Practice Address - Country:US
Practice Address - Phone:216-322-7113
Practice Address - Fax:216-751-6408
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable