Provider Demographics
NPI:1518406305
Name:PATEL, KRIPA (MSN, RN, AGACNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:KRIPA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MSN, RN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 ARIZONA AVE
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-4326
Mailing Address - Country:US
Mailing Address - Phone:908-601-1931
Mailing Address - Fax:
Practice Address - Street 1:73 ARIZONA AVE
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-4326
Practice Address - Country:US
Practice Address - Phone:908-601-1931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ6NR16834000163W00000X
NY714413-1163W00000X
NJ26NJ00845900363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ00845900OtherAPN LIC