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NPI Code Detail

MEDICARE: ALBERT T RIPALDA RN

MEDICARE: ALBERT T RIPALDA RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse646349NY
2163W00000XRegistered NurseRN68529NV

General Provider Information

NPI Number : 1912286022
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT T RIPALDA RN
Provider Business Mailing Address
First Line : 6670 GLADE AVE APT 103
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91303-2539
Country : US
Telephone Number : 702-430-0440
Fax Number :
Provider Business Practice Location Address
First Line : 6670 GLADE AVE APT 103
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91303-2539
Country : US
Telephone Number : 702-430-0440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2011
Last Update Date : 08/06/2011

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