NPI 1578220158

Isabella Wipf

Practitioner Independent Duty Corpsman Staten Island, NY

Practice location

Address: 215 Drum Rd, Staten Island, NY 10305-5001
Phone: (347) 524-4995

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1578220158
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2021
Record last updated: 18 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.