Basic Information
Provider Information
NPI: 1780267526
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRIPPEL
FirstName: SARAH
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3645 BLUE RIDGE CT
Address2:  
City: AURORA
State: IL
PostalCode: 605046590
CountryCode: US
TelephoneNumber: 8152637104
FaxNumber:  
Practice Location
Address1: 801 S WASHINGTON ST
Address2:  
City: NAPERVILLE
State: IL
PostalCode: 605407430
CountryCode: US
TelephoneNumber: 6305273000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/29/2021
LastUpdateDate: 04/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X209.022960ILY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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