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Vitaliy V. Pipenko JR., APRN
Gerontology Nurse Practitioner in Greenville, South Carolina
NPI 1285012716

Vitaliy V. Pipenko JR. is a Gerontology Nurse Practitioner based in Greenville, SC and is specialized in Gerontology. Vitaliy V. Pipenko JR. practices in Greenville, SC and has the professional credentials of APRN. The NPI Number for Vitaliy V. Pipenko JR. is 1285012716 and holds a License No. 19427 (South Carolina).

The current practice location address for Vitaliy V. Pipenko JR. is 1809 Wade Hampton Blvd Ste 120, Greenville, SC and can be reached out via phone at 864-522-5000 and via fax at 864-241-9275.

Location: 1809 Wade Hampton Blvd Ste 120, Greenville, SC, 29615-4545
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Provider Profile Details
NPI Number
1285012716
Provider Name
Vitaliy V. Pipenko JR.
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1809 Wade Hampton Blvd Ste 120, Greenville, SC, 29615-4545
Phone Number
864-522-5000
Fax Number
864-241-9275
Provider Enumeration Date
05/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP3351 05 SC
institution
Provider Business Practice Location Address Details
Address
1809 Wade Hampton Blvd Ste 120
City
State
Zip
29609-4050
Phone Number
864-522-5000
Fax Number
864-241-9275
person
Provider Business Mailing Address Details
Address
1809 Wade Hampton Blvd Ste 120
City
State
Zip
29609-4050
Phone Number
864-522-5000
Fax Number
864-241-9275
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
19427 (South Carolina)
Definition
Definition to come...
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