Provider Demographics
NPI:1841765229
Name:TRIPODINA, CARIN (RN)
Entity Type:Individual
Prefix:
First Name:CARIN
Middle Name:
Last Name:TRIPODINA
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 1:107 ISINGLASS HILL RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06480-1045
Mailing Address - Country:US
Mailing Address - Phone:860-342-3094
Mailing Address - Fax:
Practice Address - Street 1:107 ISINGLASS HILL RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:CT
Practice Address - Zip Code:06480-1045
Practice Address - Country:US
Practice Address - Phone:860-342-3094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT065125163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse