Judy Lupo, RN

Individual provider Active NPI Registered Nurse · Rural Hall, NC

NPI 1023387495 · NPPES record last updated Dec 14, 2011

Key facts

NPI
1023387495
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
62313 (NC)
Practice address
7295 Jesse Briggs Rd
Rural Hall, NC 27045-9528
Phone
(366) 922-4424
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
62313NCMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 62313 NC Yes

Addresses

Primary practice location

7295 Jesse Briggs Rd
Rural Hall, NC 27045-9528

Mailing address

7295 Jesse Briggs Rd
Rural Hall, NC 27045-9528
Phone (366) 922-4424

Other providers in Rural Hall, NC

All providers in Rural Hall, NC · Registered Nurse in North Carolina

Sources for this page

Verify at the official NPI Registry.