Individual
KRYSTAL MAE TIPPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S 1500 W, OGDEN, UT 84404
(801) 710-1161
Mailing address
200 S 1500 W, OGDEN, UT 84404-4762
(801) 710-1161
(801) 944-3180
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
491376-4406
UT
Other
Enumeration date
02/24/2009
Last updated
08/15/2018
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