Doctor Name: | MRS. TAMMY MARIE LIPPINCOTT |
NPI Number: | 1508180969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP (FAMILY) |
License Number: | SP010739 |
Business Practice Address: | 2755 Station Avenue Desales University Health Center Center Valley, PA - 180349568 |
Business Phone Number: | 6102821100 |
Business Fax Number: | 6102820943 |
Mailing Address: | 2755 Station Avenue, Desales University Health Center CENTER VALLEY |
State: | PA |
Postal Code: | 180349568 |
Phone Number: | 6102821100 |
Fax Number: | 6102820943 |
NPI Enumeration Date: | 03/15/2010 |
NPI Last Update Date: | 03/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP010739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |