Provider Demographics
NPI:1629890306
Name:RIPPY, BRYNN ELIZABETH
Entity type:Individual
Prefix:
First Name:BRYNN
Middle Name:ELIZABETH
Last Name:RIPPY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:DEWEY
Mailing Address - State:OK
Mailing Address - Zip Code:74029-2140
Mailing Address - Country:US
Mailing Address - Phone:918-815-5590
Mailing Address - Fax:
Practice Address - Street 1:414 W 6TH ST
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:OK
Practice Address - Zip Code:74029-2140
Practice Address - Country:US
Practice Address - Phone:918-815-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist