Provider Demographics
NPI:1871699298
Name:RIPPEL, ANN MARIE (APRN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:RIPPEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-9215
Mailing Address - Country:US
Mailing Address - Phone:843-280-8333
Mailing Address - Fax:843-663-0020
Practice Address - Street 1:1300 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-9215
Practice Address - Country:US
Practice Address - Phone:843-280-8333
Practice Address - Fax:843-663-0020
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC319363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC38843OtherNP LICENSE NUMBER
SC38843OtherNP LICENSE NUMBER
MR0721046OtherDEA NUMBER