Powell-Tippit, Vicki D

Powell-Tippit, Vicki D is an individual health care provider with primary practice located at 7150 Clearvista Dr , Indianapolis IN 46256-1695. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Powell-Tippit, Vicki D can be contacted via phone (317) 621-5944.

Contact Information

Primary practice address
7150 Clearvista Dr Indianapolis IN 46256-1695
Phone: (317) 621-5944
Fax: (317) 621-7876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 71002183A Indiana

Profile Details

NPI number 1679751143
LBN Legal business name Powell-Tippit, Vicki D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679751143 NPPES
Indiana MEDICAID 200926300
Indiana Other 000000557868

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