Provider Demographics
NPI:1831458629
Name:GIPS, COLLEEN MARIE (RN, NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:MARIE
Last Name:GIPS
Suffix:
Gender:F
Credentials:RN, NNP-BC
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:MARIE
Other - Last Name:HIPPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NNP-BC
Mailing Address - Street 1:15247 BENT MOSS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4247
Mailing Address - Country:US
Mailing Address - Phone:512-605-8040
Mailing Address - Fax:
Practice Address - Street 1:15247 BENT MOSS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4247
Practice Address - Country:US
Practice Address - Phone:512-605-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122099363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal