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ZACHARY RYAN TIPPENS APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1760003842

Individual Registrant:
 ZACHARY RYAN TIPPENS APRN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
225 W WALL ST  FROSTPROOF, FL 33843-2044 US
Tel: 770-401-1870  Fax: --

Contact information for business:
225 W WALL ST  FROSTPROOF, FL 33843-2044 US
Tel: 770-401-1870  Fax: --

Registration Information:
NPI: 1760003842
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLF02200533
N163W00000XNursing Service Providers
Registered Nurse
FLRN9467258

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AMERICAN ACADEMY OF NURSE PACTITIONERSF0220053301
STATE OF FLORIDA DEPARTMENT OF HEALTHRN9467258FL01




HEALTH CARE JOBS FL - Page 1



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