Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD00019425 | WA |
NPI | 1104932276 |
---|---|
Provider Name | Nancy Margaret Tipton |
First Address | Seattle, WA 98101-1873 |
Second Address | Seattle, WA 98101-2756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 16/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0039592 | LABOR AND INDUSTRIES # (01) | WA |
1087691 | (05) | WA |
5140TI | BLUE SHIELD # (01) | WA |
A06106 | (02) | |
US5580084 | AETNA PCP PIN (01) | WA |