Healthcare Provider Details

I. General information

NPI: 1619500089
Provider Name (Legal Business Name): ELIZABETH LAPIOLI MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6553 E BAYWOOD AVE STE 209
MESA AZ
85206-1754
US

IV. Provider business mailing address

6553 E BAYWOOD AVE STE 209
MESA AZ
85206-1754
US

V. Phone/Fax

Practice location:
  • Phone: 480-712-4600
  • Fax:
Mailing address:
  • Phone: 480-712-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number238308
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number238308
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF01201240
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: