| Doctor Name: | KRISTI LYNN DIPZINSKI |
| NPI Number: | 1053728840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 4704212979 |
| Business Practice Address: | 560 W Mitchell St Suite 300 Petoskey, MI - 497702275 |
| Business Phone Number: | 2314872460 |
| Business Fax Number: | 2314875965 |
| Mailing Address: | 560 W Mitchell St, Suite 300 PETOSKEY |
| State: | MI |
| Postal Code: | 497702275 |
| Phone Number: | 2314872460 |
| Fax Number: | 2314875965 |
| NPI Enumeration Date: | 07/14/2014 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SG0600X |
| License Number: | 4704212979 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |