MEDICARE: VICTORIA TRIPP 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
1	163W00000X	Registered Nurse	4704356428	MI
2	367500000X	Certified Registered Nurse Anesthetist	APRN.CRNA.0020668	OH

General Provider Information

NPI Number	:	1285206268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA TRIPP RN

Provider Business Mailing Address
First Line	:	7095 EPPING DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7095 EPPING DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2724
Country	:	US
Telephone Number	:	734-474-6031
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2021
Last Update Date	:	11/16/2022

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1184600652 — DR. CATHARINE J TABB MD
Practice Location Address:

7325 SARATOGA HILLS DR NE
CANTON, OH
44721-2724

Practice Phone: 330-388-9428
Practice Fax: 330-388-9428

1518725845 — MR. RASHAWN JAMALL CAMPBELL
Practice Location Address:

2724 HERITAGE AVE NW
CANTON, OH
44718-3510

Practice Phone: 330-949-0242
Practice Fax:

1982544219 — LILY THERESE ROBERTSON
Practice Location Address:

5958 N CANTON CENTER RD STE 900
CANTON, MI
48187-2740

Practice Phone: 734-737-1200
Practice Fax:

1538231857 — DR. MARK DONALD RICHTER M.D.
Practice Location Address:

6100 HAGGERTY
CANTON, MI
48187

Practice Phone: 734-981-3200
Practice Fax: 734-981-4354

1750221958 — MAISAA BAKOUR
Practice Location Address:

42682 SOMERSET DR
CANTON, MI
48187-3023

Practice Phone: 818-296-8551
Practice Fax:

Directions to “ VICTORIA TRIPP RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.