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1043203185

NPI Code Detail

MEDICARE: LINDA GAY LEPAPE MSN ARNP

MEDICARE: LINDA GAY LEPAPE MSN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WM0705X	Medical-Surgical Registered Nurse	AP30006788	WA
2	363LF0000X	Family Nurse Practitioner	AP30006788	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0194811	OTHER	WA	L&I
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0224219	OTHER	WA	STATE L&I
4	PO0196376	OTHER	WA	RR MEDICCARE

General Provider Information

NPI Number	:	1043203185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA GAY LEPAPE MSN ARNP

Provider Business Mailing Address
First Line	:	2901 BRIDGEPORT WAY W
Second Line	:
City	:	UNIVERSITY PLACE
State	:	WA
Zip	:	98466-4614
Country	:	US
Telephone Number	:	253-534-7000
Fax Number	:	253-534-7099

Provider Business Practice Location Address
First Line	:	2901 BRIDGEPORT WAY W
Second Line	:
City	:	UNIVERSITY PLACE
State	:	WA
Zip	:	98466-4614
Country	:	US
Telephone Number	:	253-534-7000
Fax Number	:	253-534-7099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	11/18/2011

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Directions to “ LINDA GAY LEPAPE MSN ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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