Provider Demographics
NPI:1902686629
Name:TRIPODI, KATARINA (RNFA)
Entity Type:Individual
Prefix:
First Name:KATARINA
Middle Name:
Last Name:TRIPODI
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:KATARINA
Other - Middle Name:
Other - Last Name:BANKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNFA
Mailing Address - Street 1:5992 IVORY DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:14425-9073
Mailing Address - Country:US
Mailing Address - Phone:585-491-2311
Mailing Address - Fax:
Practice Address - Street 1:350 PARRISH ST
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1793
Practice Address - Country:US
Practice Address - Phone:585-491-2311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY732851163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant