Provider Demographics
NPI:1295384212
Name:FLIPPO, WHITNEY MARIE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:MARIE
Last Name:FLIPPO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:MARIE
Other - Last Name:DYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1411 WALLA WALLA AVE
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2163
Mailing Address - Country:US
Mailing Address - Phone:509-629-3028
Mailing Address - Fax:
Practice Address - Street 1:1411 WALLA WALLA AVE
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2163
Practice Address - Country:US
Practice Address - Phone:509-629-3028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201607583LPN164W00000X
WALP60966241164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse