Individual
VICKI D POWELL-TIPPIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5944
(317) 621-7876
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
71002183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000557868
ANTHEM
IN
05
—
200926300
—
IN
Enumeration date
02/06/2008
Last updated
11/27/2023
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