Provider Demographics
NPI:1740958503
Name:TRIPLETT, BRIDGETT (HOME HEALTH PROVIDER)
Entity type:Individual
Prefix:
First Name:BRIDGETT
Middle Name:
Last Name:TRIPLETT
Suffix:
Gender:F
Credentials:HOME HEALTH PROVIDER
Other - Prefix:
Other - First Name:BRIDGETT
Other - Middle Name:
Other - Last Name:TRIPLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1566 BRIARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-1502
Mailing Address - Country:US
Mailing Address - Phone:614-202-7398
Mailing Address - Fax:
Practice Address - Street 1:2551 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4849
Practice Address - Country:US
Practice Address - Phone:614-202-7398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-05
Last Update Date:2021-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider