Provider Demographics
NPI:1598249047
Name:RIPTON, PAULIE PATTEN (RN)
Entity Type:Individual
Prefix:
First Name:PAULIE
Middle Name:PATTEN
Last Name:RIPTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-3101
Mailing Address - Country:US
Mailing Address - Phone:531-299-7334
Mailing Address - Fax:402-457-5031
Practice Address - Street 1:2906 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3101
Practice Address - Country:US
Practice Address - Phone:531-299-1700
Practice Address - Fax:402-457-5031
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE55999163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool