Provider Demographics
NPI:1215536024
Name:LIPINSKY, CAROLINE BARBARA (FNP)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:BARBARA
Last Name:LIPINSKY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:994 MARISA LN
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-6649
Mailing Address - Country:US
Mailing Address - Phone:201-835-2422
Mailing Address - Fax:
Practice Address - Street 1:994 MARISA LN
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-6649
Practice Address - Country:US
Practice Address - Phone:201-835-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily