Doctor Name: | ELIZABETH PILKINGTON SIPALA |
NPI Number: | 1043210032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R080623 |
Business Practice Address: | 6602 Church Hill Rd Suite 200 Chestertown, MD - 216202310 |
Business Phone Number: | 4107780300 |
Business Fax Number: | 4107780351 |
Mailing Address: | 8923 Orchard Dr, CHESTERTOWN |
State: | MD |
Postal Code: | 216203407 |
Phone Number: | 4107780037 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2005 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | R080623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |