| NPI | 1295702371 |
|---|---|
| Other Name | BETHANY LYNN TIPPETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104980) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110001819) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-03-17 |