Individual provider · Type 1 NPI
Stephanie L. Ippolito, PNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1700354743
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Fax (602) 933-4298
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN183654 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 219814 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1700354743
Stephanie L. Ippolito, PNP's National Provider Identifier is 1700354743, issued on Nov 7, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 4, 2018.