Provider Demographics
NPI:1376421008
Name:RIPPY, AMBER KAYE (APRN- FNP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:KAYE
Last Name:RIPPY
Suffix:
Gender:F
Credentials:APRN- FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12230 E FERN DR
Mailing Address - Street 2:
Mailing Address - City:CORNVILLE
Mailing Address - State:AZ
Mailing Address - Zip Code:86325-5912
Mailing Address - Country:US
Mailing Address - Phone:928-301-0379
Mailing Address - Fax:
Practice Address - Street 1:203 S CANDY LN STE 9B
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4121
Practice Address - Country:US
Practice Address - Phone:928-202-3485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ223043363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily