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ANDREA TIRPAK N.P.
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1629139266
Individual Registrant: ANDREA TIRPAK N.P.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
407 S JACKSON ST STE A CERRO GORDO, IL 61818-4360 US
Tel: 217-763-6010 Fax: 217-763-6012
Tel: 217-763-6010 Fax: 217-763-6012
Contact information for business:
1 MEMORIAL DR SUITE 300 DECATUR, IL 62526-6303 US
Tel: 217-872-2400 Fax: 217-875-4680
Tel: 217-872-2400 Fax: 217-875-4680
Registration Information:
NPI: 1629139266
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | IL | 274063369 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
