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NPI Code Detail

MEDICARE: MRS. JULIA GLAZEBROOK TRIPPE CRNA

MEDICARE: MRS. JULIA GLAZEBROOK TRIPPE CRNA
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
1367500000XCertified Registered Nurse Anesthetist089889SC
2163W00000XRegistered Nurse107216SC
3367500000XCertified Registered Nurse Anesthetist17894SC

General Provider Information

NPI Number : 1710250972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIA GLAZEBROOK TRIPPE CRNA
Provider Business Mailing Address
First Line : 300 E MCBEE AVE STE 300
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2899
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 7 INDEPENDENCE PT STE 300
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4569
Country : US
Telephone Number : 864-522-3700
Fax Number : 864-522-3705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2012
Last Update Date : 12/03/2025

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