Provider Demographics
NPI:1114577293
Name:TRIPPEL, SHERYL L (APN, NP-C)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:TRIPPEL
Suffix:
Gender:F
Credentials:APN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 RACHAEL DR
Mailing Address - Street 2:
Mailing Address - City:MICKLETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08056-1332
Mailing Address - Country:US
Mailing Address - Phone:856-467-9063
Mailing Address - Fax:
Practice Address - Street 1:602 S BROADWAY
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1222
Practice Address - Country:US
Practice Address - Phone:856-964-4456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00940800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily