| Doctor Name: | ANNE TIPAY MAGPURI |
| NPI Number: | 1225097785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 52349 |
| Business Practice Address: | 5700 Arnold St 72mdg/sgomp Tinker Afb, OK - 731458105 |
| Business Phone Number: | 4057362213 |
| Business Fax Number: | |
| Mailing Address: | 6408 Briarwood Ln, NICHOLS HILLS |
| State: | OK |
| Postal Code: | 731165612 |
| Phone Number: | 4058423315 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 52349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |