Individual
SUSAN PIPPENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 BROOKER CREEK BLVD, OLDSMAR, FL 34677-2962
(813) 818-3226
Mailing address
601 BROOKER CREEK BLVD, OLDSMAR, FL 34677-2962
(813) 818-3226
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1474182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291214700
—
FL
Enumeration date
02/23/2006
Last updated
09/11/2013
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