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NPI Code Detail

MEDICARE: AMY DENNISE TRIPLETT

MEDICARE: AMY DENNISE TRIPLETT
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
1175T00000XPeer SpecialistWA
2101Y00000XCounselorWA
3174400000XSpecialistMA00025266WA
4171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1497928055
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY DENNISE TRIPLETT
Provider Business Mailing Address
First Line : 2204 PACIFIC AVE N
Second Line :
City : LONG BEACH
State : WA
Zip : 98631-3300
Country : US
Telephone Number : 360-642-3787
Fax Number : 360-875-4150
Provider Business Practice Location Address
First Line : 2204 PACIFIC AVE N
Second Line :
City : LONG BEACH
State : WA
Zip : 98631-3300
Country : US
Telephone Number : 360-642-3787
Fax Number : 360-875-4150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2008
Last Update Date : 11/04/2025

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Directions to “ AMY DENNISE TRIPLETT ” Practice Location

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