Individual
NAOMI Y TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA, CNP
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
PO BOX 2572, NEW SMYRNA BEACH, FL 32170-2572
(305) 407-7208
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
041266232
IL
163WR0006X
Registered Nurse First Assistant
9405234
FL
363LA2100X
Acute Care Nurse Practitioner
209010302
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
9405234
FL
Other
Enumeration date
07/17/2012
Last updated
02/19/2019
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