Niepagen, Maria Lucia

Niepagen, Maria Lucia is an individual health care provider with primary practice located at 2201 South Ave , South Lake Tahoe CA 96150-7025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Niepagen, Maria Lucia can be contacted via phone (530) 543-5623.

Contact Information

Primary practice address
2201 South Ave South Lake Tahoe CA 96150-7025
Phone: (530) 543-5623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95011261 California

Profile Details

NPI number 1447718978
LBN Legal business name Niepagen, Maria Lucia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2019
Last updated Sep 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447718978 NPPES
California MEDICAID THP11576F

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