Individual
MIRANDA LIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-1000
Mailing address
3317 AUGUSTA AVE, CINCINNATI, OH 45211-3501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
414722
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0020716
OH
Other
Enumeration date
07/11/2021
Last updated
02/25/2025
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