Healthcare Provider Details

I. General information

NPI: 1518487156
Provider Name (Legal Business Name): JANET ELIZABETH CIPOLETTA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 ELVERSON RD
ELVERSON PA
19520-9359
US

IV. Provider business mailing address

304 N WATER ST
LANCASTER PA
17603-3374
US

V. Phone/Fax

Practice location:
  • Phone: 484-266-9265
  • Fax:
Mailing address:
  • Phone: 717-735-6808
  • Fax: 717-945-1587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP017531
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: