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NPI Code Detail

MEDICARE: SCOTT LIPPACHER FNP-BC

MEDICARE: SCOTT LIPPACHER FNP-BC
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 PractitionerF340669-1NY
2363LF0000XFamily Nurse Practitioner101.0122584VT

General Provider Information

NPI Number : 1023562493
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT LIPPACHER FNP-BC
Provider Business Mailing Address
First Line : 376 E WARM SPRINGS RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4241
Country : US
Telephone Number : 702-848-4443
Fax Number :
Provider Business Practice Location Address
First Line : 376 E WARM SPRINGS RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4241
Country : US
Telephone Number : 702-848-4443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2016
Last Update Date : 03/26/2024

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Directions to “ SCOTT LIPPACHER FNP-BC” Practice Location

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