| Doctor Name: | ANITA KAYVON WIPPEL |
| NPI Number: | 1023101151 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | RN282306 |
| Business Practice Address: | 501 State St Proctorville, OH - 456693015 |
| Business Phone Number: | 7408862674 |
| Business Fax Number: | 7408862675 |
| Mailing Address: | 501 State St, PROCTORVILLE |
| State: | OH |
| Postal Code: | 456693015 |
| Phone Number: | 7408862674 |
| Fax Number: | 7408862675 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 02/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN282306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |