Provider Demographics
NPI:1578956181
Name:SHETH, TRIPTI (RN)
Entity Type:Individual
Prefix:
First Name:TRIPTI
Middle Name:
Last Name:SHETH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 PINEHILL CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3591
Mailing Address - Country:US
Mailing Address - Phone:732-710-1921
Mailing Address - Fax:
Practice Address - Street 1:13 PINEHILL CT
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3591
Practice Address - Country:US
Practice Address - Phone:732-710-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-07
Last Update Date:2015-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15442400163W00000X
NY642836-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse