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NPI Code Detail

MEDICARE: BRANDY LOPILATO APN

MEDICARE: BRANDY LOPILATO APN
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
1363LF0000XFamily Nurse Practitioner71005833AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952778052
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY LOPILATO APN
Provider Business Mailing Address
First Line : PO BOX 3276
Second Line :
City : EVANSVILLE
State : IN
Zip : 47731-3276
Country : US
Telephone Number : 765-372-8187
Fax Number : 765-222-5819
Provider Business Practice Location Address
First Line : 1714 W ROYALE DR
Second Line :
City : MUNCIE
State : IN
Zip : 47304-2240
Country : US
Telephone Number : 765-372-8187
Fax Number : 812-492-6390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2015
Last Update Date : 03/17/2026

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