Individual provider · Type 1 NPI
Liji Vipin
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1760856538
Active
Practice location
1615 Oregon Ave
Philadelphia, PA 19145
Mailing address
49 Beechwood Blvd
Feasterville Trevose, PA 19053-4471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP015145 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1760856538
Liji Vipin's National Provider Identifier is 1760856538, issued on Nov 17, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 17, 2015.