Doctor Name: | DENISE R TIPTON |
NPI Number: | 1003278078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R182914 |
Business Practice Address: | 12813 Hathaway Dr Silver Spring, MD - 209064078 |
Business Phone Number: | 3019422536 |
Business Fax Number: | |
Mailing Address: | 12813 Hathaway Dr, SILVER SPRING |
State: | MD |
Postal Code: | 209064078 |
Phone Number: | 3019422536 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2016 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | R182914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |