Individual
MRS. TIPHANY PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, ACNP-BC
Contact information
Practice address
1180 SETON PKWY, SUITE 450, KYLE, TX 78640-6178
(512) 504-0860
(512) 504-0861
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
731753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294385401
—
TX
05
—
294385402
—
TX
05
—
294385403
—
TX
01
—
868N24
BCBS
TX
01
—
8837NL
BCBS
TX
Enumeration date
11/30/2011
Last updated
01/20/2015
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