Provider Demographics
NPI:1144679044
Name:HIPPE, RAYMOND LEWIS (PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:LEWIS
Last Name:HIPPE
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Gender:M
Credentials:PMHNP-BC
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Mailing Address - Street 1:2700 N CENTRAL AVE
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1133
Mailing Address - Country:US
Mailing Address - Phone:602-266-8402
Mailing Address - Fax:602-264-0887
Practice Address - Street 1:2700 N CENTRAL AVE
Practice Address - Street 2:SUITE 1050
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1133
Practice Address - Country:US
Practice Address - Phone:602-266-8402
Practice Address - Fax:602-264-0887
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP8748363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health