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NPI Code Detail

MEDICARE: MS. DEBRA LEA SCHIPPER M.S.N., ANP

MEDICARE:  MS. DEBRA LEA SCHIPPER  M.S.N., ANP
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
1363LA2200XAdult Health Nurse PractitionerF300914-1NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00827106OTHERNYRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1699779967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA LEA SCHIPPER M.S.N., ANP
Provider Business Mailing Address
First Line : 1550 EMPIRE BLVD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2104
Country : US
Telephone Number : 585-922-2214
Fax Number : 585-922-2388
Provider Business Practice Location Address
First Line : 1550 EMPIRE BLVD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2104
Country : US
Telephone Number : 585-922-2214
Fax Number : 585-922-2388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 07/20/2010

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