MEDICARE: ELIZABETH ANN LEPPER APN

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
1	363LF0000X	Family Nurse Practitioner	209013297	IL
2	363LF0000X	Family Nurse Practitioner	71012695A	IN

General Provider Information

NPI Number	:	1720450026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN LEPPER APN

Provider Business Mailing Address
First Line	:	5419 COUNTY ROAD 427
Second Line	:
City	:	AUBURN
State	:	IN
Zip	:	46706-9504
Country	:	US
Telephone Number	:	260-333-5105
Fax Number	:	260-333-0036

Provider Business Practice Location Address
First Line	:	5419 COUNTY ROAD 427
Second Line	:
City	:	AUBURN
State	:	IN
Zip	:	46706-9504
Country	:	US
Telephone Number	:	260-333-5105
Fax Number	:	260-333-0036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	08/03/2022

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Directions to “ ELIZABETH ANN LEPPER APN” Practice Location

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