Individual
ANITA KAYVON WIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 STATE ST, PROCTORVILLE, OH 45669-3015
(740) 886-2674
(740) 886-2675
Mailing address
501 STATE ST, PROCTORVILLE, OH 45669-3015
(740) 886-2674
(740) 886-2675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN282306
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2256348
—
OH
05
—
7105046000
—
WV
Enumeration date
10/02/2006
Last updated
02/07/2013
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