Susan Kathleen Tipton in Modesto - Nurse Practitioner

Susan Kathleen Tipton - NPI 1518971217

Susan Kathleen Tipton is a Nurse Practitioner in Modesto, California. Susan Kathleen Tipton practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan Kathleen Tipton is 1518971217. The last update date is 2016-02-18.

Susan Kathleen Tipton's current location address is 1524 Mchenry Ave, Modesto, California. You can contact this provider via phone number 2095711693 and fax number 2095710326. The mailing address for Susan Kathleen Tipton is 1524 Mchenry Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Kathleen Tipton
Address 1524 Mchenry Ave, Modesto, California
Phone Number 2095711693
Fax Number 2095710326
Sole Proprietor N
Credentials RN NP

NPI Number Detail

NPI Number 1518971217
Provider Enumeration Date 2006-07-28
Last Updated Date 2016-02-18

Provider Mailing Address Detail

Address 1524 Mchenry Ave
City Modesto
State California (CA)
Post Code 953504500
Phone Number 2095711693
Fax Number 2095710326

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 14915
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14915 CA NP
308602 CA RN

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FAQs about Susan Kathleen Tipton

What is the unique identifier code issued to Susan Kathleen Tipton by the Centers for Medicare & Medicaid Services?

The Susan Kathleen Tipton has been assigned the NPI (National Provider Identifier) 1518971217. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Susan Kathleen Tipton is physically located?

The Susan Kathleen Tipton is situated at the following address: 1524 Mchenry Ave, Modesto, CA 953504500.

What is the Susan Kathleen Tipton's area of specialization and corresponding taxonomy classification?

The Susan Kathleen Tipton's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

On what date did the Susan Kathleen Tipton receive its 1518971217 assignment from the Centers for Medicare & Medicaid Services?

The Susan Kathleen Tipton was assigned its 1518971217 by the Centers for Medicare & Medicaid Services on 2006-07-28.

As of what date was the information regarding Susan Kathleen Tipton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Susan Kathleen Tipton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-18.

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