Doctor Name: | MS. ANITA ELIZABETH TRIPP KRAJNIK |
NPI Number: | 1407115975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.D. |
License Number: | |
Business Practice Address: | 3703 Normandy Rd Shaker Hts, OH - 441205246 |
Business Phone Number: | 2163227113 |
Business Fax Number: | 2167516408 |
Mailing Address: | 3703 Normandy Rd, SHAKER HTS |
State: | OH |
Postal Code: | 441205246 |
Phone Number: | 2163227113 |
Fax Number: | 2167516408 |
NPI Enumeration Date: | 05/03/2012 |
NPI Last Update Date: | 05/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |