MEDICARE: MS. ROYLENE J RIPPENTROP

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1285811802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROYLENE J RIPPENTROP

Provider Business Mailing Address
First Line	:	119 FOURTH ST.
Second Line	:
City	:	SANDSTONE
State	:	MN
Zip	:	55072
Country	:	US
Telephone Number	:	320-245-5362
Fax Number	:	320-245-5105

Provider Business Practice Location Address
First Line	:	119 FOURTH ST.
Second Line	:
City	:	SANDSTONE
State	:	MN
Zip	:	55072
Country	:	US
Telephone Number	:	320-245-5362
Fax Number	:	320-245-5105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2008
Last Update Date	:	05/24/2026

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