| NPI | 1124662838 |
|---|---|
| Former Name | NADINE ANTONIA TIPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995120-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1664946) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RXN.0104402-NP) | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |