Healthcare Provider Details

I. General information

NPI: 1417010471
Provider Name (Legal Business Name): SHERRI L VIGGIANO-HIPKENS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 GENESEE ST 201
AUBURN NY
13021-3503
US

IV. Provider business mailing address

2 ASPEN ST
AUBURN NY
13021-4502
US

V. Phone/Fax

Practice location:
  • Phone: 315-253-8477
  • Fax: 315-255-0757
Mailing address:
  • Phone: 315-258-5260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number330481
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: