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Individual

NICOLETTE LYN TIPPETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, CDE

Contact information

Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6227
(701) 456-6196
Mailing address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6227
(701) 456-6196

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R46629
ND

Other

Enumeration date
02/24/2020
Last updated
02/24/2020
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