Travis Alan Tipton, RN
Registered Nurse in Lancaster, OH. Individual provider (NPI-1).
NPI number1003554619
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1003554619
- Entity type
- Individual (NPI-1)
- Name
- Mr. Travis Alan Tipton
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2022
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN.418536 | OH | Yes |
Practice location
1703 N Memorial DrLancaster, OH 43130-1634
Phone 740-773-1141
Mailing address
17273 State Route 104Chillicothe, OH 45601-9718
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