Healthcare Provider Details

I. General information

NPI: 1801877378
Provider Name (Legal Business Name): RHONDA ELLEN RIPPEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHONDA ELLEN COATNEY

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 08/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 DUFF AVE
AMES IA
50010-5740
US

IV. Provider business mailing address

1018 DUFF AVE
AMES IA
50010-5740
US

V. Phone/Fax

Practice location:
  • Phone: 515-663-8621
  • Fax: 515-663-8620
Mailing address:
  • Phone: 515-663-8621
  • Fax: 515-663-8620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA060787
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: