Provider Demographics
NPI:1588855423
Name:CRIPPEN, TRICIA LYNN (RN)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:LYNN
Last Name:CRIPPEN
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 1:481 PARADISE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501-9752
Mailing Address - Country:US
Mailing Address - Phone:307-856-1278
Mailing Address - Fax:
Practice Address - Street 1:481 PARADISE VALLEY RD
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501-9752
Practice Address - Country:US
Practice Address - Phone:307-856-1278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY16008163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse