Provider Demographics
NPI:1750994844
Name:RIPLEY, TERESA GAIL
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:GAIL
Last Name:RIPLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:WV
Mailing Address - Zip Code:25951-2403
Mailing Address - Country:US
Mailing Address - Phone:304-237-8580
Mailing Address - Fax:
Practice Address - Street 1:207 2ND AVE
Practice Address - Street 2:
Practice Address - City:HINTON
Practice Address - State:WV
Practice Address - Zip Code:25951-2403
Practice Address - Country:US
Practice Address - Phone:304-237-8580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant