Provider Demographics
NPI:1942258165
Name:STRIPLIN, PAMELA KAY (APN)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:KAY
Last Name:STRIPLIN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19814 JUNIPER CHASE TRL.
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-4047
Mailing Address - Country:US
Mailing Address - Phone:832-661-4541
Mailing Address - Fax:
Practice Address - Street 1:19814 JUNIPER CHASE TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-4047
Practice Address - Country:US
Practice Address - Phone:832-661-4541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000840363L00000X
TX578486363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100818Medicare ID - Type Unspecified
NVP68846Medicare UPIN