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NPI Code Detail

MEDICARE: CARIS TRIPPE RN

MEDICARE: CARIS TRIPPE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse828112-01NY
2163WS0200XSchool Registered Nurse828112-01NY

General Provider Information

NPI Number : 1053269027
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARIS TRIPPE RN
Provider Business Mailing Address
First Line : 209 OAKLAWN DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-1815
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 41 OCONNOR RD
Second Line :
City : FAIRPORT
State : NY
Zip : 14450-1327
Country : US
Telephone Number : 585-377-4660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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