National Provider Identifier

Lou Ann Dipetta, ANP-C

Lou Ann Dipetta, ANP-C is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Elmira, NY and a listed phone number of (607) 795-2820.

NPI 1629219704Elmira, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1629219704
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
March 18, 2009
Last Updated
April 17, 2023

Practice Location

  • 600 Roe Avenue
  • Suite 1G
  • Elmira, NY 14905-1629

Phone: (607) 795-2820

Mailing Address

  • 571 Saint Josephs Blvd Fl 2
  • Elmira, NY 14901-3230

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Nurse Practitioner (363L00000X)
Full Record
NPI
1629219704
Entity Type
Individual
Last Name
Dipetta
First Name
Lou
Middle Name
Ann
Name Prefix
MS.
Credential
ANP-C
Mailing Street Address
571 Saint Josephs Blvd Fl 2
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
600 Roe Avenue
Practice Address Line 2
Suite 1G
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 795-2820
Practice Fax
(607) 795-2821
Enumeration Date
March 18, 2009
Last Updated
April 17, 2023
Sex
Female
Sole Proprietor
No
Certification Date
April 17, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Nurse Practitioner (363L00000X)
Other Identifiers
103181065 (PA), P01181372 (NY, Railroad Medicare), 03102325 (NY)