Ware, Joanna Tripp

Ware, Joanna Tripp is an individual health care provider with primary practice located at 3011 N Union St , Ponca City OK 74601-7400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Ware, Joanna Tripp can be contacted via phone (580) 304-7067.

Contact Information

Primary practice address
3011 N Union St Ponca City OK 74601-7400
Phone: (580) 304-7067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 54172 Oklahoma

Profile Details

NPI number 1578858189
LBN Legal business name Ware, Joanna Tripp
Credentials CNS, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Jan 7th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578858189 NPPES
Other 12353876 CAQH
MEDICAID 200431120A CAQH
Other R0054172 CAQH

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