Provider Demographics
NPI:1497930937
Name:CIPOLETTI, CAROL LYNN (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LYNN
Last Name:CIPOLETTI
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 WASHINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:WELLSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26070-1961
Mailing Address - Country:US
Mailing Address - Phone:304-527-1410
Mailing Address - Fax:304-527-3604
Practice Address - Street 1:CROSS CREEK RD RR#3
Practice Address - Street 2:BROOKE HIGH SCHOOL
Practice Address - City:WELLSBURG
Practice Address - State:WV
Practice Address - Zip Code:26070-1961
Practice Address - Country:US
Practice Address - Phone:304-527-1410
Practice Address - Fax:304-527-3604
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV31901163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool