Provider Demographics
NPI:1033120571
Name:NIPPES, A. KAY (RN)
Entity Type:Individual
Prefix:MS
First Name:A.
Middle Name:KAY
Last Name:NIPPES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WAHC, CMR 467
Mailing Address - Street 2:P O BOX 5891
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09096
Mailing Address - Country:DE
Mailing Address - Phone:611-705-6480
Mailing Address - Fax:611-705-6148
Practice Address - Street 1:WAHC, CMR 467, BOX 5891
Practice Address - Street 2:WAHC
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09096
Practice Address - Country:DE
Practice Address - Phone:611-705-6480
Practice Address - Fax:611-705-6148
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN046923163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health