Provider Demographics
NPI:1770509242
Name:KRIPINSKI, LAURA ANN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:KRIPINSKI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 G ST
Mailing Address - Street 2:
Mailing Address - City:FORKS
Mailing Address - State:WA
Mailing Address - Zip Code:98331-9025
Mailing Address - Country:US
Mailing Address - Phone:360-374-6224
Mailing Address - Fax:360-374-6039
Practice Address - Street 1:461 G ST
Practice Address - Street 2:
Practice Address - City:FORKS
Practice Address - State:WA
Practice Address - Zip Code:98331-9025
Practice Address - Country:US
Practice Address - Phone:360-374-6224
Practice Address - Fax:360-374-6039
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9640178Medicaid
WA9640178Medicaid