Individual
MRS. CAROLYN RIPATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9880 ANGIES WAY, SUITE 110, LOUISVILLE, KY 40241-2864
(502) 446-6160
(502) 446-6161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006794
KY
363LF0000X
Family Nurse Practitioner
3006794
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000776059
ANTHEM PIN
KY
01
—
000000858857
ANTHEM-NNS
KY
01
—
158657
SIHO-NSS
KY
01
—
50024332
PASSPORT-NNS
KY
05
—
7100208630
—
KY
Enumeration date
02/25/2011
Last updated
08/09/2016
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