Individual
ASYA MICHELLE TIPTON
Active
Individual
ASYA MICHELLE TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.T.N.A /NA PCA
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400514510605
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243802
—
OH
Enumeration date
01/17/2018
Last updated
01/17/2018
Update your record
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