Provider Demographics
NPI:1467447698
Name:VOLPE, EILEEN (APRN)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:
Last Name:VOLPE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3117
Mailing Address - Country:US
Mailing Address - Phone:321-952-9500
Mailing Address - Fax:321-952-2299
Practice Address - Street 1:1318 PINE ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3117
Practice Address - Country:US
Practice Address - Phone:321-952-9500
Practice Address - Fax:321-952-9500
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1872362363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL302917400Medicaid
FLP40298OtherSTATE
FLE6213OtherBCBS
FLP40298Medicare UPIN
FL302917400Medicaid