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NPI Code Detail

MEDICARE: JULIEANNE LEPA FNP

MEDICARE:   JULIEANNE  LEPA  FNP
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 PractitionerAP1231AZ

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 : 1306863071
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIEANNE LEPA FNP
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : MARANA
State : AZ
Zip : 85653-0188
Country : US
Telephone Number : 520-818-3616
Fax Number : 520-818-3630
Provider Business Practice Location Address
First Line : 1323 W PRINCE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-3114
Country : US
Telephone Number : 520-887-0800
Fax Number : 520-887-1393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

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