Provider Demographics
NPI:1205908308
Name:RIPPE, BRENDA S (BS ED)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:S
Last Name:RIPPE
Suffix:
Gender:F
Credentials:BS ED
Other - Prefix:MISS
Other - First Name:BRENDA
Other - Middle Name:S
Other - Last Name:DOBBERSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS ED
Mailing Address - Street 1:6775 RD D
Mailing Address - Street 2:
Mailing Address - City:HUBBELL
Mailing Address - State:NE
Mailing Address - Zip Code:68375
Mailing Address - Country:US
Mailing Address - Phone:402-324-4176
Mailing Address - Fax:
Practice Address - Street 1:521 E STREET
Practice Address - Street 2:
Practice Address - City:FAIRBURY
Practice Address - State:NE
Practice Address - Zip Code:68352
Practice Address - Country:US
Practice Address - Phone:402-729-2272
Practice Address - Fax:402-729-2273
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47052851589Medicaid
NE47052851585Medicaid
NE47052851590Medicaid
NE47052851593Medicaid
NE47052851580Medicaid
NE47052851587Medicaid