Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Diagnostic Ultrasound |
2085U0001X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X | |||
Sonography Radiologic Technologist |
2471S1302X | |||
Specialist/Technologist Cardiovascular, Sonography |
246XS1301X |
| NPI # | 1740829548 |
||||
| LBN Legal business name | TRIPODCARE | ||||
| Authorized official | EDWIN NDUM - (MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/27/2019 | ||||
| Last updated | 01/30/2020 - About 6 years ago | ||||
| Identifiers |
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