Individual
MRS. MATEA RIPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1917 E STOP 12 RD, INDIANAPOLIS, IN 46227-6275
(260) 449-6977
Mailing address
1917 E STOP 12 RD, INDIANAPOLIS, IN 46227-6275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003303A
STATE LICENSE
IN
Enumeration date
04/10/2021
Last updated
05/04/2026
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