Doctor Name: | MRS. TIPHANY PRICE |
NPI Number: | 1144597402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, ACNP-BC |
License Number: | 731753 |
Business Practice Address: | 1180 Seton Pkwy Suite 450 Kyle, TX - 786406178 |
Business Phone Number: | 5125040860 |
Business Fax Number: | 5125040861 |
Mailing Address: | 1400 N Ih 35, Suite 300 AUSTIN |
State: | TX |
Postal Code: | 787011926 |
Phone Number: | 5123248300 |
Fax Number: | 5123248301 |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 731753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |