Doctor Name: | MANDY FAY KRIPPNER |
NPI Number: | 1013358399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, CNP |
License Number: | R1950748 |
Business Practice Address: | 1406 6th Ave N Saint Cloud, MN - 563031900 |
Business Phone Number: | 3202512700 |
Business Fax Number: | |
Mailing Address: | 1406 6th Ave N, SAINT CLOUD |
State: | MN |
Postal Code: | 563031900 |
Phone Number: | 3202512700 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R1950748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |