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NPI Code Detail

MEDICARE: COURTNEY MARIE SIPES APRN

MEDICARE: COURTNEY MARIE SIPES APRN
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 PractitionerRN267867GA
2363LF0000XFamily Nurse PractitionerRN2373045MA

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 : 1992273577
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MARIE SIPES APRN
Provider Business Mailing Address
First Line : 211 PARK ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-3137
Country : US
Telephone Number : 508-236-7040
Fax Number : 508-236-7043
Provider Business Practice Location Address
First Line : 211 PARK ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-3137
Country : US
Telephone Number : 508-222-5200
Fax Number : 508-236-7043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2018
Last Update Date : 02/27/2023

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Directions to “ COURTNEY MARIE SIPES APRN” Practice Location

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