Individual
AUDREY RENEA REESE PIPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5475 BOEHM DR, FAIRFIELD, OH 45014-7407
(513) 829-7946
Mailing address
PO BOX 18364, FAIRFIELD, OH 45018-0364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017897
KY
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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