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Susan E Lipof, NP
Pediatric Nurse Practitioner in Medford, Massachusetts
NPI 1518933175

Susan E Lipof is a Pediatric Nurse Practitioner based in Boston, MA and is specialized in Pediatrics. Susan E Lipof practices in Medford, MA and has the professional credentials of NP. The NPI Number for Susan E Lipof is 1518933175 and holds a License No. 92972 (Massachusetts).

The current practice location address for Susan E Lipof is 26 City Hall Mall, Medford, MA and can be reached out via phone at 781-306-5100 and via fax at 781-306-5379.

Location: 26 City Hall Mall, Medford, MA, 02109-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518933175
Provider Name
Susan E Lipof
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
26 City Hall Mall, Medford, MA, 02109-4806
Phone Number
781-306-5100
Fax Number
781-306-5379
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0381811 05 MA
NP9984 01 MA BLUE CROSS
PF252 01 MA HARVARD PILGRIM
institution
Provider Business Practice Location Address Details
Address
26 City Hall Mall
City
Medford
State
Massachusetts
Zip
02155-4754
Phone Number
781-306-5100
Fax Number
781-306-5379
person
Provider Business Mailing Address Details
Address
26 City Hall Mall
City
Medford
State
Massachusetts
Zip
02155-4754
Phone Number
781-306-5100
Fax Number
781-306-5379
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
92972 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
92972 (Massachusetts)
Definition
Definition to come...
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