Individual provider · Type 1 NPI

Vitaliy V. Pipenko Jr., APRN

Gerontology Nurse Practitioner · Greenville, SC

NPI number 1285012716 Active

Practice location

1809 Wade Hampton Blvd Ste 120
Greenville, SC 29609-4050

Fax (864) 241-9275

Mailing address

1 Independence Pt, Ste 212
Greenville, SC 29615-4545

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X19427 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1285012716

Vitaliy V. Pipenko Jr., APRN's National Provider Identifier is 1285012716, issued on May 17, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Greenville, SC. The record was last updated on Jun 10, 2021.