National Provider Identifier

Loraine Ippolito, NP

Loraine Ippolito, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 972-0279.

NPI 1194782425Orchard Park, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1194782425
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
April 28, 2006
Last Updated
November 05, 2015

Practice Location

  • 3675 Southwestern Blvd
  • Orchard Park, NY 14127-1732

Phone: (716) 972-0279

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1194782425
Entity Type
Individual
Last Name
Ippolito
First Name
Loraine
Credential
NP
Mailing Street Address
3675 Southwestern Blvd
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1732
Mailing Country
US
Mailing Phone
(716) 972-0279
Mailing Fax
(716) 972-0271
Practice Street Address
3675 Southwestern Blvd
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1732
Practice Country
US
Practice Phone
(716) 972-0279
Practice Fax
(716) 972-0271
Enumeration Date
April 28, 2006
Last Updated
November 05, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
00021054903 (NY, Univera), 040426002812 (NY, Fidelis Care #), 9513162 (NY, Iha #), 02794365 (NY), 00021054902 (NY, Univera), 180048BJ (NY, Preferred Care), 000560087008 (NY, BCBS), 000560087007 (NY, Bc/Bs)