Provider Demographics
NPI:1528216140
Name:LIPKIN, NOELLE CLAIRE (ARNP BC)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:CLAIRE
Last Name:LIPKIN
Suffix:
Gender:F
Credentials:ARNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:779 MEDICAL DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-5234
Mailing Address - Country:US
Mailing Address - Phone:941-475-5431
Mailing Address - Fax:941-475-1753
Practice Address - Street 1:779 MEDICAL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-5234
Practice Address - Country:US
Practice Address - Phone:941-475-5431
Practice Address - Fax:941-475-1753
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9185329363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner