Provider Demographics
NPI:1821787854
Name:TRIPLETT, NATHAN PAUL I
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:PAUL
Last Name:TRIPLETT
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:WHAT CHEER
Mailing Address - State:IA
Mailing Address - Zip Code:50268-1037
Mailing Address - Country:US
Mailing Address - Phone:541-990-4894
Mailing Address - Fax:
Practice Address - Street 1:102 E WILLOW ST
Practice Address - Street 2:
Practice Address - City:WHAT CHEER
Practice Address - State:IA
Practice Address - Zip Code:50268-1037
Practice Address - Country:US
Practice Address - Phone:541-990-4894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)