Provider Demographics
NPI:1386216257
Name:RIPARIP, CHARMINE (NP)
Entity Type:Individual
Prefix:
First Name:CHARMINE
Middle Name:
Last Name:RIPARIP
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15959 HALL RD STE LL104
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-5364
Mailing Address - Country:US
Mailing Address - Phone:586-799-1212
Mailing Address - Fax:
Practice Address - Street 1:15959 HALL RD STE LL104
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5364
Practice Address - Country:US
Practice Address - Phone:586-799-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704302440163W00000X
MI2021033980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse