Healthcare Provider Details

I. General information

NPI: 1992934111
Provider Name (Legal Business Name): DIMPLE LILIAN KRIPALANI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 SHALLOWFORD RD STE 720
MARIETTA GA
30062-5082
US

IV. Provider business mailing address

4343 SHALLOWFORD RD STE 720
MARIETTA GA
30062-5082
US

V. Phone/Fax

Practice location:
  • Phone: 470-316-6207
  • Fax: 470-412-6886
Mailing address:
  • Phone: 470-316-6207
  • Fax: 470-412-6886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP155956
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: