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Maria Lucia Niepagen, FNP
Family Nurse Practitioner in South Lake Tahoe, California
NPI 1447718978

Maria Lucia Niepagen is a Family Nurse Practitioner based in South Lake Tahoe, CA and is specialized in Family. Maria Lucia Niepagen practices in South Lake Tahoe, CA and has the professional credentials of FNP. The NPI Number for Maria Lucia Niepagen is 1447718978 and holds a License No. 95011261 (California).

The current practice location address for Maria Lucia Niepagen is 2201 South Ave, South Lake Tahoe, CA and can be reached out via phone at 530-543-5623.

Location: 2201 South Ave, South Lake Tahoe, CA, 96150-7025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447718978
Provider Name
Maria Lucia Niepagen
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2201 South Ave, South Lake Tahoe, CA, 96150-7025
Phone Number
530-543-5623
Fax Number
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THP11576F 05 CA
institution
Provider Business Practice Location Address Details
Address
2201 South Ave
City
South Lake Tahoe
State
California
Zip
96150-7025
Phone Number
530-543-5623
Fax Number
person
Provider Business Mailing Address Details
Address
2201 South Ave
City
South Lake Tahoe
State
California
Zip
96150-7025
Phone Number
530-543-5623
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95011261 (California)
Definition
Definition to come...
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