Provider Demographics
NPI:1346591682
Name:CEPPAGLIA, ELIZABETH REGINA (RN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:REGINA
Last Name:CEPPAGLIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-3003
Mailing Address - Country:US
Mailing Address - Phone:716-681-5260
Mailing Address - Fax:
Practice Address - Street 1:1 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-3003
Practice Address - Country:US
Practice Address - Phone:716-681-5260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY349593163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse