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NPI Code Detail

MEDICARE: ELVINA M KIPOTO NP-C

MEDICARE: ELVINA M KIPOTO NP-C
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
1363LG0600XGerontology Nurse PractitionerLP0010460DE
2363LP2300XPrimary Care Nurse PractitionerLP0010460DE

General Provider Information

NPI Number : 1679241889
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVINA M KIPOTO NP-C
Provider Business Mailing Address
First Line : 1072 JUSTISON ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-5162
Country : US
Telephone Number : 302-660-3394
Fax Number :
Provider Business Practice Location Address
First Line : 1072 JUSTISON ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-5162
Country : US
Telephone Number : 302-660-3394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2021
Last Update Date : 09/03/2025

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Directions to “ ELVINA M KIPOTO NP-C” Practice Location

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