Provider Demographics
NPI:1699046706
Name:RIPPLEY, SARAH (EMTP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:RIPPLEY
Suffix:
Gender:F
Credentials:EMTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 LINDA AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:ND
Mailing Address - Zip Code:58572-4009
Mailing Address - Country:US
Mailing Address - Phone:701-202-2060
Mailing Address - Fax:
Practice Address - Street 1:143 PROPOSAL AVENUE
Practice Address - Street 2:
Practice Address - City:FORT YATES
Practice Address - State:ND
Practice Address - Zip Code:58538
Practice Address - Country:US
Practice Address - Phone:701-854-3452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND125785146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic