Healthcare Provider Details

I. General information

NPI: 1194132183
Provider Name (Legal Business Name): CHRISTINA TRIPLETT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 09/01/2021
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3928 WASHINGTON RD STE 230
MC MURRAY PA
15317-2594
US

IV. Provider business mailing address

3928 WASHINGTON RD STE 230
CANONSBURG PA
15317-2594
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-1866
  • Fax:
Mailing address:
  • Phone: 724-941-1866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP013112
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: