Individual
AMBER TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3952 27TH AVE NE, NAPLES, FL 34120-8947
(239) 776-9441
Mailing address
3952 27TH AVE NE, NAPLES, FL 34120-8947
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5223448
FL
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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