Individual
ANNA INATTE TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 GLENWOOD DR, LOGAN, OH 43138-1102
(740) 216-1173
Mailing address
765 GLENWOOD DR, LOGAN, OH 43138-1102
(740) 216-1173
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ANNA444
—
OH
Enumeration date
02/11/2020
Last updated
02/11/2020
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