Provider Demographics
NPI:1871521773
Name:RIPPSTEIN, LENA L (MSN, RN, GNP)
Entity type:Individual
Prefix:MS
First Name:LENA
Middle Name:L
Last Name:RIPPSTEIN
Suffix:
Gender:F
Credentials:MSN, RN, GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2713 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:INGLESIDE
Mailing Address - State:TX
Mailing Address - Zip Code:78362-5910
Mailing Address - Country:US
Mailing Address - Phone:361-776-5101
Mailing Address - Fax:361-776-5136
Practice Address - Street 1:2713 MAIN ST
Practice Address - Street 2:
Practice Address - City:INGLESIDE
Practice Address - State:TX
Practice Address - Zip Code:78362-5910
Practice Address - Country:US
Practice Address - Phone:361-776-5101
Practice Address - Fax:361-776-5136
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP111193363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX435615YLPSOtherWELLMED PTAN
TX158247003Medicaid